Individual
JONATHAN TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 852-2000
Mailing address
34 LINCOLN ST, TRUMBULL, CT 06611-4611
(203) 209-0026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5657
CT
Other
Enumeration date
05/16/2022
Last updated
09/21/2023
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