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1194863852
JISHA PHILIP
BRIDGEPORT, CT
NPI
1194863852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT 48331)
Enumeration Date
2007-02-02
Last Update Date
2012-01-05
Business Address
Dr. JISHA PHILIP M.D
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-330-6000
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Mailing Address
Dr. JISHA PHILIP M.D
968 FAIRFIELD AVE
BRIDGEPORT, CT 06605-1116
Phone number: 203-332-6000
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