Individual
MS. JILL GAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC A
Contact information
Practice address
198 SOUTH MAIN ST, MIDDLETOWN, CT 06457
(860) 346-5428
(860) 346-0201
Mailing address
125 DEAD HILL ROAD, DURHAM, CT 06422
(860) 349-8709
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
85
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730000085CT01
BLUE CROSS BLUE SHIELD
—
01
—
OV5601
HEALTH NET
—
Enumeration date
07/14/2006
Last updated
07/08/2007
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