Dr BRYAN JENNINGS is a male medical professional, specializing in Physician Assistant. He graduated in 2016.
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT
CT
066102805
Tel:
| Npi | 1104278720 |
| Pac Id | 6709160633 |
| Professional Enrollment Id | I20170221001701 |
| Last Name | JENNINGS |
| First Name | BRYAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Group Practice Pac Id | 1254233836 |
| Number Of Group Practice Members | 1042 |
| Line 1 Street Address | 267 GRANT ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 066102805 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 070010 |
| Hospital Affiliation Lbn 1 | BRIDGEPORT HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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