Illuzzi, Jessica Lee

Illuzzi, Jessica Lee is an individual health care provider with primary practice located at 789 Howard Ave , New Haven CT 06519-1304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Illuzzi, Jessica Lee can be contacted via phone (203) 688-4101.

Contact Information

Primary practice address
789 Howard Ave New Haven CT 06519-1304
Phone: (203) 688-4101
Fax: (203) 688-7274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 040471 Connecticut

Profile Details

NPI number 1164401022
LBN Legal business name Illuzzi, Jessica Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164401022 NPPES
Connecticut MEDICAID 001404714

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