Individual
SIRI L DAULAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
050596
CT
207P00000X
Emergency Medicine Physician
LP01368
RI
Other
Enumeration date
06/24/2008
Last updated
11/20/2012
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