NPI 1750607362 · live from the CMS NPI Registry
Jessica M Gjede, M.D.
Dermatology in Rocky Hill, CT. National Provider Identifier 1750607362, active.
NPI record
| NPI | 1750607362 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1111 Cromwell Ave., Suite 202, Rocky Hill, CT 06067 |
| Practice phone | 860-348-4242 |
| Mailing address | 30 Hoffmann Rd., Canton, CT 06019 |
| Enumerated | April 8, 2010 |
| Last updated | June 19, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 052822 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.