Individual
JASON M. CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3334
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730569740
—
CT
01
—
D400225889
MEDICARE
—
Enumeration date
06/04/2015
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us