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Individual

DR. JASON VELASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
87 WEST ST, DANBURY, CT 06810-6528
(203) 205-2623
(203) 794-1501
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 205-2623
(203) 794-1501

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
250287
NY
2084P0804X
Child & Adolescent Psychiatry Physician
64095
CT

Other

Enumeration date
08/04/2008
Last updated
12/04/2019
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