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Individual

DR. DIANNE JEAN DEFUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 BROADWAY, NORTH HAVEN, CT 06473-2349
(203) 234-6500
(203) 234-6503
Mailing address
2 BROADWAY, NORTH HAVEN, CT 06473-2349
(203) 234-6500
(203) 234-6503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041834
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041834
LICENSE
CT
Enumeration date
11/15/2006
Last updated
09/14/2007
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