Individual
KAREN DETTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 489-4144
(860) 489-4412
Mailing address
20 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 496-0450
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
038261
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001382613
—
CT
Enumeration date
06/12/2006
Last updated
03/03/2014
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