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Individual
DR. TIMOTHY CHARLES VANDEUSEN
Active
Individual
DR. TIMOTHY CHARLES VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
49010
CT
2084P0804X
Child & Adolescent Psychiatry Physician
A48207
CA
Other
Enumeration date
02/13/2007
Last updated
12/04/2020
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