Individual
DR. JENNA MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77132
CT
390200000X
Student in an Organized Health Care Education/Training Program
244202
—
Other
Enumeration date
04/05/2021
Last updated
06/13/2024
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