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MISS JILL R ABOULIAN PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1881615730
Individual Registrant:MISS JILL R ABOULIAN PA-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1781 HIGHLAND AVENUE SUITE 106 CHESHIRE, CT 06410-1254 US
Tel: 203-271-2120 Fax: 203-272-3197
Tel: 203-271-2120 Fax: 203-272-3197
Contact information for business:
1781 HIGHLAND AVENUE SUITE 106 CHESHIRE, CT 06410-1254 US
Tel: 203-271-2120 Fax: 203-272-3197
Tel: 203-271-2120 Fax: 203-272-3197
Registration Information:
NPI: 1881615730
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | CT | 2340 |
| N | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | RI | PA00293 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 9004051 | RI | 05 |
