Individual
JASON ROLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1277 SOUTH ST, SUFFIELD, CT 06078-2521
(860) 869-4111
Mailing address
L6 SURREY LN, TORRINGTON, CT 06790-2822
(860) 485-4898
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
1212
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212
PATRIOT TAXI
CT
Enumeration date
12/22/2017
Last updated
06/16/2018
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