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1588384986
JASON SIMONIDES
WATERBURY, CT
NPI
1588384986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 031862)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-08-29
Last Update Date
2024-09-04
Business Address
JASON SIMONIDES
500 CHASE PKWY
WATERBURY, CT 06708-3346
Phone number: 203-755-6677
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Mailing Address
JASON SIMONIDES
235 FIELD ST
NEWINGTON, CT 06111-5408
Phone number: 860-899-7897
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