Provider Demographics
NPI:1144457755
Name:DEARBORN-TOMAZOS, JENNIFER LEA (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEA
Last Name:DEARBORN-TOMAZOS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15 YORK STREET, LLCI 912
Mailing Address - Street 2:YALE UNIVERSITY DEPARTMENT OF NEUROLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-3221
Mailing Address - Country:US
Mailing Address - Phone:203-737-1057
Mailing Address - Fax:
Practice Address - Street 1:15 YORK STREET, LLCI 912
Practice Address - Street 2:YALE UNIVERSITY DEPARTMENT OF NEUROLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-3221
Practice Address - Country:US
Practice Address - Phone:203-737-1057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2017-06-15
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Provider Licenses
StateLicense IDTaxonomies
CT530702084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology