Individual
JILLIAN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 CRESCENT ST, MIDDLETOWN, CT 06457-3601
(860) 358-3360
(860) 358-3388
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
77344
CT
Other
Enumeration date
03/24/2020
Last updated
07/29/2024
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