IndividualActive
Jessica Maccormac, DO
NPI 1285933655 · Pediatric Adolescent Medicine Physician · Hartford, CT
Provider details
- NPI number
- 1285933655
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 60116 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
282 Washington St
Hartford, CT 06106
Phone: (860) 837-7681
Approximate (ZIP-level) locationGet directions
Mailing address
10 Columbus Blvd Fl 4
Hartford, CT 06106-1976
Additional practice locations (1)
- 1425 Portland AveRochester, NY 14621-3001Phone: (585) 922-2575Fax: (585) 922-5033
Registry dates
- Enumerated
- 2011-03-24
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.