Individual
JANE BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00136
RI
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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