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Contact Information

JESSICA L GUMULA
100 GRAND ST
NEW BRITAIN, CT06052-2016
 Phone: 860-224-5011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JESSICA L GUMULA · (Female)

NPI Number 1063880516
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2015
Last updated 09/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 089088
  • CT License # 89088
Hospital affiliation(s)
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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