Individual
DR. JENNIFER O LETITIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 KINGS HWY E STE 108, FAIRFIELD, CT 06825-4870
(203) 371-0300
(203) 680-9242
Mailing address
1 TULIP LN, WESTPORT, CT 06880-2734
(203) 293-5618
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
034391
CT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
034391
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23085
CSP
CT
Enumeration date
04/02/2014
Last updated
03/07/2023
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