Individual
MICHAEL STEPHEN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 WOODSIDE CIR, WOODBURY, CT 06798-1528
(860) 966-4744
Mailing address
15 WOODSIDE CIR, WOODBURY, CT 06798-1528
(860) 966-4474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12299
CT
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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