Provider Demographics
NPI:1568627974
Name:PARSONS, JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1450 WASHINGTON BLVD # 103
Mailing Address - Street 2:STAMFORD HEALTH INTEGRATED PRACTICES
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2451
Mailing Address - Country:US
Mailing Address - Phone:203-348-2937
Mailing Address - Fax:203-348-1968
Practice Address - Street 1:1450 WASHINGTON BLVD # 103
Practice Address - Street 2:STAMFORD HEALTH INTEGRATED PRACTICES
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2451
Practice Address - Country:US
Practice Address - Phone:203-348-2937
Practice Address - Fax:203-348-1968
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT048777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT48777OtherCT STATE LICENSE
CTFP2146618OtherDEA