Individual provider · Type 1 NPI
Jordan James Gleason, PA
Surgical Physician Assistant · New Haven, CT
NPI number
1275927071
Active
Practice location
20 York St, Yale New Haven Hospital South Pavilion 218
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 23.003347 (CT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1275927071
Jordan James Gleason, PA's National Provider Identifier is 1275927071, issued on Mar 19, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Aug 5, 2020.