Individual
DR. SCOTT BOURRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 DEVINE ST, NORTH HAVEN, CT 06473-2195
(203) 287-6222
Mailing address
6 DEVINE ST, NORTH HAVEN, CT 06473-2195
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
PCT.0012795
CT
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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