Individual
JESSICA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
30 AVALON DR UNIT 5211, MILFORD, CT 06460-8591
(916) 599-4270
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
5939
CT
363AM0700X
Medical Physician Assistant
Primary
5939
CT
Other
Enumeration date
03/28/2019
Last updated
11/08/2024
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