Individual
DANIEL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(727) 535-1437
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
163W00000X
Registered Nurse
Primary
168088
CT
171000000X
Military Health Care Provider
—
—
Other
Enumeration date
11/25/2014
Last updated
12/30/2021
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