Individual
JILL SOBOLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 559-1149
Mailing address
56 NANEL DR APT C, GLASTONBURY, CT 06033-2265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
001525
CT
Other
Enumeration date
05/08/2006
Last updated
10/23/2015
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