Individual
JASON A CARRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4477
(860) 679-1025
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4477
(860) 679-1025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062451
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
02/11/2016
Last updated
05/09/2019
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