Individual provider · Type 1 NPI

Jennifer Bellucci

Surgical Physician Assistant · Stamford, CT

NPI number 1659894772 Active

Practice location

1 Hospital Plz
Stamford, CT 06902-3602

Mailing address

14 Bridle Ridge Rd
Patterson, NY 12563-2302

Other practice locations

  • 34 Maple St, Norwalk, CT 06850-3815 · (000) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X3958 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1659894772

Jennifer Bellucci's National Provider Identifier is 1659894772, issued on Jul 20, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stamford, CT. The record was last updated on Dec 20, 2018.