Individual
DEREK EDWARD NITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
74835
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
09/21/2020
Last updated
01/15/2026
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