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Individual

JAIME ERNESTO RODRIGUEZ-NAZARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPS

Contact information

Practice address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 508-5784
Mailing address
1257 BARNUM AVE APT 1, BRIDGEPORT, CT 06610-2843
(347) 488-7403

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25632
CT

Other

Enumeration date
02/18/2026
Last updated
02/18/2026
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