Individual
KEVIN EHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 PARK AVE, BRIDGEPORT, CT 06604-3406
(203) 696-0127
Mailing address
1000 PARK AVE, BRIDGEPORT, CT 06604-3406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014000
CT
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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