Individual provider · Type 1 NPI

Marissa Jacko, MPAS, PA-C

Surgical Physician Assistant · New Haven, CT

NPI number 1740544709 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-3335 Map

Fax (203) 688-3336

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X002773 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1740544709

Marissa Jacko, MPAS, PA-C's National Provider Identifier is 1740544709, issued on Jun 25, 2012. 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 30, 2021.