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Individual

DR. KATHERINE E BLACK-LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
145 DURHAM RD, MADISON, CT 06443-2674
(203) 245-4216
Mailing address
145 DURHAM RD, MADISON, CT 06443-2674
(203) 245-4216

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P000360
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P000360
LICENSE (DPM)
CT
Enumeration date
10/03/2006
Last updated
07/08/2007
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