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Individual

DR. ERNEST LUKE SQUATRITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
131 NEW LONDON TPKE, SUITE 103, GLASTONBURY, CT 06033-4535
(860) 659-5999
(860) 659-5999
Mailing address
78 STRICKLAND ST, GLASTONBURY, CT 06033-2527
(860) 659-5999
(860) 633-9423

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000536
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001005364
CT
Enumeration date
07/21/2005
Last updated
12/14/2010
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