Provider Demographics
NPI:1245724087
Name:JMSTHERAPEUTICS
Entity type:Organization
Organization Name:JMSTHERAPEUTICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-421-6242
Mailing Address - Street 1:71 BRADLEY RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2662
Mailing Address - Country:US
Mailing Address - Phone:203-421-6242
Mailing Address - Fax:203-421-6808
Practice Address - Street 1:71 BRADLEY RD UNIT 6
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2662
Practice Address - Country:US
Practice Address - Phone:203-421-6242
Practice Address - Fax:203-421-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty