Healthcare Provider Details

I. General information

NPI: 1609579366
Provider Name (Legal Business Name): YASMIN JABER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JASMIN JABER MD

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ROBBINS ST
WATERBURY CT
06708-2652
US

IV. Provider business mailing address

64 ROBBINS ST
WATERBURY CT
06708-2600
US

V. Phone/Fax

Practice location:
  • Phone: 203-573-7284
  • Fax: 203-573-7031
Mailing address:
  • Phone: 203-573-6162
  • Fax: 203-573-6707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: