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Organization
CAROL L WATSON MD LLC
Active
Organization
CAROL L WATSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L. BOUCHARD (PRACTICE MANAGER)
(860) 749-4416
Entity
Organization
Contact information
Practice address
140 HAZARD AVENUE, SUITE 107, ENFIELD, CT 06082-4520
(860) 749-4416
(860) 749-4506
Mailing address
140 HAZARD AVE, SUITE 107, ENFIELD, CT 06082-4520
(860) 749-4416
(860) 749-4506
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042373
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142370
—
CT
Enumeration date
10/22/2007
Last updated
10/22/2007
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