Individual provider · Type 1 NPI
Jordan Aniel Dorelus, MMSC
Medical Physician Assistant · New Haven, CT
NPI number
1780446500
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
175 Seaton Rd Apt 4
Stamford, CT 06902-3216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 23.006496 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1780446500
Jordan Aniel Dorelus, MMSC's National Provider Identifier is 1780446500, issued on Jan 26, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Mar 6, 2024.