Individual
RORY V CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, MA
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 887-0604
Mailing address
66 CHESTNUT ST, BRANFORD, CT 06405-3749
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
112100
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6636
CT
Other
Enumeration date
05/06/2016
Last updated
09/28/2023
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