Dr JAY R HUMPHREY is a male medical professional, specializing in Physician Assistant. He graduated in 2006.
NORTHEAST MEDICAL GROUP INC
57 MAIN ST
CENTERBROOK
CT
064091003
Tel: 8607670098
| Npi | 1497977235 |
| Pac Id | 2961586086 |
| Professional Enrollment Id | I20080826000293 |
| Last Name | HUMPHREY |
| First Name | JAY |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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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 | 57 MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CENTERBROOK |
| State | CT |
| Zip Code | 064091003 |
| Phone Number | 8607670098 |
| Hospital Affiliation Ccn 1 | 070022 |
| Hospital Affiliation Lbn 1 | YALE-NEW HAVEN HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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