Active NPIIndividual providerSole proprietor

Saundra L Jezowski

Specialist/Technologist, Other in Glastonbury, Connecticut

NPI Number1306604798
Practice location
39 New London Tpke Ste 218, Glastonbury, CT 06033-4208
Fax
407-650-2754
Last updated
August 21, 2025

Saundra Lyn Jezowski is a Specialist/Technologist, Other based in Glastonbury, CT. Saundra Lyn Jezowski practices in Glastonbury, CT. The NPI Number for Saundra Lyn Jezowski is 1306604798 and holds a License No. 654 (CT). The current practice location address for Saundra Lyn Jezowski is 39 New London Tpke Ste 218, Glastonbury, CT 06033-4208 and can be reached out via phone at 407-982-4876 and via fax at 407-650-2754.

Provider Profile Details

NPI Number
1306604798
Provider Name
Saundra Lyn Jezowski
Provider Entity Type
Individual
Gender
Female
Address
39 New London Tpke Ste 218, Glastonbury, CT 06033-4208
Phone Number
407-982-4876
Fax Number
407-650-2754
Primary Taxonomy
Specialist/Technologist, Other · 246Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2024
Last Update Date
August 21, 2025
Certification Date
August 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 New London Tpke Ste 218
Glastonbury, CT 06033-4208
Zip
06033-4208
Phone Number
407-982-4876
Fax Number
407-650-2754
Glastonbury, CT 06033Get directions →

Provider Business Mailing Address Details

Address
39 New London Tpke Ste 218
Glastonbury, CT 06033-2061
City
Glastonbury
State
CT
Zip
06033-2061
Phone Number
860-716-4199

License Information

Taxonomy (1)
Specialist/Technologist, Other · 246Z00000X · Primary
License Number (2)
654
License State (2)
CT
Taxonomy (2)
Clinic/Center · 261Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Saundra L Jezowski?

The NPI number of Saundra L Jezowski is 1306604798. It was assigned on March 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Saundra L Jezowski?

Saundra L Jezowski is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X), licensed in CT under license number 654.

Where does Saundra L Jezowski practice?

The practice location is 39 New London Tpke Ste 218, Glastonbury, CT 06033-4208. The office can be reached at 407-982-4876 (phone) or 407-650-2754 (fax).

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 1306604798 directly on the NPPES registry website.

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