Individual
JENNIFER BELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-1000
Mailing address
14 BRIDLE RIDGE RD, PATTERSON, NY 12563-2302
(845) 494-9769
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3958
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/20/2017
Last updated
12/20/2018
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