JORDAN ANIEL DORELUS

NEW HAVEN, CT
NPI1780446500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  23.006496)
Enumeration Date2024-01-26
Last Update Date2024-03-06
Business Address
JORDAN ANIEL DORELUS MMSc
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Mailing Address
JORDAN ANIEL DORELUS MMSc
175 SEATON RD APT 4
STAMFORD, CT 06902-3216
Phone number: 203-685-5401