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Individual

JENNIFER GROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-1947
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1019112
MA
207R00000X
Internal Medicine Physician
Primary
80411
CT
208000000X
Pediatrics Physician
1019112
MA
208000000X
Pediatrics Physician
80411
CT

Other

Enumeration date
03/31/2020
Last updated
03/31/2025
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