JAKE MICHAEL JOHNSON

BRIDGEPORT, CT
NPI1134787518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  4557)
Enumeration Date2019-05-31
Last Update Date2019-08-07
Business Address
JAKE MICHAEL JOHNSON PA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
Mailing Address
JAKE MICHAEL JOHNSON PA
21 VISTA DR
SHELTON, CT 06484-1696
Phone number: 203-814-7810
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