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Individual

BRIAN JAMES ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
329 GREENE ST UNIT 3, NEW HAVEN, CT 06511-6968
(510) 566-1920
Mailing address
329 GREENE ST UNIT 3, NEW HAVEN, CT 06511-6968
(510) 566-1920

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14174
CT

Other

Enumeration date
11/19/2024
Last updated
11/19/2024
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