JACQUELINE S NISSEN

FARMINGTON, CT
NPI1053318618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CT  032545)
Enumeration Date2005-06-28
Last Update Date2022-07-11
Business Address
-- JACQUELINE S NISSEN MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-1921
Phone number: 860-679-4477
Mailing Address
-- JACQUELINE S NISSEN MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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