Mrs. Jill W Gulliford, PA-C
Physician Assistant in West Haven, Connecticut
1215982624- Practice location
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- —
- Last updated
- September 11, 2023
Jill Wasserman Gulliford is a Physician Assistant based in West Haven, CT. Jill Wasserman Gulliford practices in West Haven, CT and has the professional credentials of PA-C. The NPI Number for Jill Wasserman Gulliford is 1215982624 and holds a License No. 000773 (CT). The current practice location address for Jill Wasserman Gulliford is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.
Provider Profile Details
- NPI Number
- 1215982624
- Provider Name
- Jill Wasserman Gulliford
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Ms. Jill Nicole Wasserman, PA-C (Former Name)
- Provider Enumeration Date
- May 23, 2006
- Last Update Date
- September 11, 2023
- Certification Date
- September 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
Provider Business Mailing Address Details
- Address
- 501 Kings Hwy E
Suite 112
Fairfield, CT 06825-4867 - City
- Fairfield
- State
- CT
- Zip
- 06825-4867
- Phone Number
- 203-382-1900
- Fax Number
- 203-382-0019
License Information
- License Number (1)
- 000773
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- 00773
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jill W Gulliford, PA-C?
The NPI number of Mrs. Jill W Gulliford, PA-C is 1215982624. It was assigned on May 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jill W Gulliford, PA-C?
Mrs. Jill W Gulliford, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000773.
Where does Mrs. Jill W Gulliford, PA-C practice?
The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215982624 directly on the NPPES registry website.