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Individual

DENIS PATRICK AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
21 BROAD ST, T1544, STAMFORD, CT 06901-2309
(203) 388-0038
Mailing address
21 BROAD ST, T1544, STAMFORD, CT 06901-2309
(203) 388-0038

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11198
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004246840
CT
Enumeration date
02/03/2012
Last updated
02/03/2012
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