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Organization
ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC
Active
Organization
ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DUBEN MD (OWNER)
(203) 372-4636
Entity
Organization
Contact information
Practice address
3715 MAIN ST, BRIDGEPORT, CT 06606-3611
(203) 372-4636
(203) 372-4188
Mailing address
3715 MAIN ST, BRIDGEPORT, CT 06606-3618
(203) 372-4636
(203) 372-4188
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
041464
CT
Other
Enumeration date
10/01/2007
Last updated
09/29/2009
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