JEANNE P ANSEL PA

NORTHEAST MEDICAL GROUP INC

Dr JEANNE P ANSEL PA is a female medical professional, specializing in Physician Assistant. She graduated in 2004.

Contact

NORTHEAST MEDICAL GROUP INC

194 HOWARD ST
NEW LONDON
CT
063205544

Tel: 8604443366

JEANNE P ANSEL PA Information

Npi 1124067178
Pac Id 5890706980
Professional Enrollment Id I20151123001872
Last Name ANSEL
First Name JEANNE
Middle Name P
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Group Practice Pac Id 1254233836
Number Of Group Practice Members 1042
Line 1 Street Address 194 HOWARD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW LONDON
State CT
Zip Code 063205544
Phone Number 8604443366
Hospital Affiliation Ccn 1 070007
Hospital Affiliation Lbn 1 LAWRENCE & MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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