Individual
JESSICA DARA BOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CEDAR ST, YALE MEDICAL SCHOOL, NEW HAVEN, CT 06510-3206
(203) 688-2259
(203) 688-5599
Mailing address
333 CEDAR ST, YALE MEDICAL SCHOOL, NEW HAVEN, CT 06510-3206
(203) 688-2259
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54999
CT
390200000X
Student in an Organized Health Care Education/Training Program
54999
CT
Other
Enumeration date
04/29/2012
Last updated
03/14/2016
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