Individual
CRISANTA ANTOINETTE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
248 SPRING ST APT 10, NAUGATUCK, CT 06770-2951
(443) 557-8513
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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