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Individual

ALGENIS JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
617 WATERTOWN AVE, WATERBURY, CT 06708-2243
(203) 753-2119
Mailing address
617 WATERTOWN AVE, WATERBURY, CT 06708-2243
(203) 753-2119

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6092
CT

Other

Enumeration date
09/18/2021
Last updated
11/21/2025
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