Jackson P Maille, MD Valid NPI

Individual provider · Family Medicine Physician · Bridgeport, CT

NPI

1255443479

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036274 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-01

Last updated

2026-01-09