Gulliford, Jill Wasserman

Gulliford, Jill Wasserman is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gulliford, Jill Wasserman can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 000773 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00773 Connecticut

Profile Details

NPI number 1215982624
LBN Legal business name Gulliford, Jill Wasserman
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 11th, 2023 - about 2 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 1215982624 NPPES
Connecticut Other 2V3798 HEALTH NET
Connecticut Other 290000773CT01 HEALTH NET

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