Individual
JASON M NALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030
(860) 679-3343
(860) 679-4256
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-6235
(860) 679-3343
(860) 679-4256
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3155
CT
Other
Enumeration date
07/16/2014
Last updated
06/27/2023
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