Individual
MRS. JENNIFER GONZALEZ-COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
195 GROVE ST, WATERBURY, CT 06710-2214
(203) 506-0031
(203) 759-0545
Mailing address
159 FOREST LN, CHESHIRE, CT 06410-3720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001533
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001533CT02
BLUE CROSS BLUE SHIELD
CT
01
—
1046421
CIGNA
CT
Enumeration date
03/14/2007
Last updated
07/08/2007
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