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Jodi V Hodge, PA-C
Medical Physician Assistant in Waterford, Connecticut
NPI 1326279035

Jodi V Hodge is a Medical Physician Assistant based in Waterford, CT and is specialized in Medical. Jodi V Hodge practices in Waterford, CT and has the professional credentials of PA-C. The NPI Number for Jodi V Hodge is 1326279035 and holds a License No. 001462 (Connecticut).

The current practice location address for Jodi V Hodge is 196 Parkway S, Waterford, CT and can be reached out via phone at 860-443-4455 and via fax at 860-447-8961.

Location: 196 Parkway S, Waterford, CT, 06385-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326279035
Provider Name
Jodi V Hodge
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
196 Parkway S, Waterford, CT, 06385-1234
Phone Number
860-443-4455
Fax Number
860-447-8961
Provider Enumeration Date
07/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001462 01 CT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
196 Parkway S
City
Waterford
State
Connecticut
Zip
06385-1234
Phone Number
860-443-4455
Fax Number
860-447-8961
person
Provider Business Mailing Address Details
Address
196 Parkway S
City
Waterford
State
Connecticut
Zip
06385-1234
Phone Number
860-443-4455
Fax Number
860-447-8961
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
001462 (Connecticut)
Definition
Definition to come...
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