Individual
JENNIFER DILUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
299 BARBERRY RD, NORTH HAVEN, CT 06473-4102
(203) 675-2973
Mailing address
299 BARBERRY RD, NORTH HAVEN, CT 06473-4102
(203) 675-2973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
001868
CT
207R00000X
Internal Medicine Physician
Primary
001868
CT
363A00000X
Physician Assistant
001868
CT
363AS0400X
Surgical Physician Assistant
001868
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972649812
—
CT
Enumeration date
01/29/2007
Last updated
11/30/2021
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