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Individual

NICHOLAS DEMARTINIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6700
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
038332
CT

Other

Enumeration date
06/17/2005
Last updated
09/27/2007
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