Individual provider · Type 1 NPI

Jessica Vaz Martins, PA-C

Surgical Physician Assistant · Trumbull, CT

NPI number 1053628784 Active

Practice location

160 Hawley Ln Ste 2
Trumbull, CT 06611-5387

Call (203) 375-3456 Map

Fax (203) 380-3803

Mailing address

160 Hawley Lane, Ste 002
Trumbull, CT 06611

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002445 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1053628784

Jessica Vaz Martins, PA-C's National Provider Identifier is 1053628784, issued on Sep 1, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Trumbull, CT. The record was last updated on Jun 27, 2017.