Organization
BRIAN P. DESCHAMPS, DPM
Active
Parent organization
BRIAN P. DESCHAMPS, DPM
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN P. DESCHAMPS, DPM
Authorized official
DR. BRIAN PETER DESCHAMPS DPM (OWNER)
(806) 875-7078
Entity
Organization
Contact information
Practice address
351 MERLINE RD, SUITE 101, VERNON, CT 06066-4040
(860) 857-7078
(860) 857-8991
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(860) 444-0074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000504
CT
Other
Enumeration date
06/12/2007
Last updated
07/16/2009
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