Provider Demographics
NPI:1891378758
Name:PARZUCHOWSKI, JERILYN ANN (PA-C)
Entity type:Individual
Prefix:MISS
First Name:JERILYN
Middle Name:ANN
Last Name:PARZUCHOWSKI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:278 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-2000
Mailing Address - Country:US
Mailing Address - Phone:475-675-5502
Mailing Address - Fax:
Practice Address - Street 1:278 OXFORD RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-2000
Practice Address - Country:US
Practice Address - Phone:475-675-5502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2024-11-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant