Doctor Name: | JACLYN M SYLVIA |
NPI Number: | 1023294287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | AP2472 |
Business Practice Address: | 60 Westwood Ave Suite 104 Waterbury, CT - 067082460 |
Business Phone Number: | 2035745997 |
Business Fax Number: | 2035745987 |
Mailing Address: | 60 Westwood Ave, Suite 104 WATERBURY |
State: | CT |
Postal Code: | 067082460 |
Phone Number: | 2035745997 |
Fax Number: | 2035745987 |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | AP2472 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |