Individual
HASSAM JAFFRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
(203) 732-1332
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65196
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
08/20/2024
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