Registry details
Type
Individual
Primary specialty
Psychiatry & Neurology, Sleep Medicine
Enumerated
Jul 4, 2013
License(s)
MT204807 (PA), 63874 (CT), 63874 (CT)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2660 MAIN ST | Bridgeport, CT 06606-5369 | 203-576-6000 |
| MAILING | 2660 MAIN ST | Bridgeport, CT 06606-5369 |
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