Individual
JENNA KOCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 TAMARACK AVE, DANBURY, CT 06811-4829
(203) 797-8990
Mailing address
25 TAMARACK AVE, DANBURY, CT 06811-4829
(203) 797-8990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006414
CT
Other
Enumeration date
01/03/2024
Last updated
10/28/2024
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