Individual
JESSY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-8820
(203) 709-3679
Mailing address
794 KLONDIKE AVE, STATEN ISLAND, NY 10314-4824
(646) 318-1760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
291503
NY
207R00000X
Internal Medicine Physician
54019
CT
Other
Enumeration date
03/23/2015
Last updated
06/14/2019
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