Individual
DR. JENNIFER SUZANNE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 DANBURY RD, RIDGEFIELD, CT 06877-4029
(203) 431-6342
Mailing address
77 DANBURY RD, RIDGEFIELD, CT 06877-4029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047513
CT
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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