Individual
DANIEL EDMOND BENDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
567 VAUXHALL STREET EXT, SUITE 326, WATERFORD, CT 06385-4330
(860) 442-8033
Mailing address
567 VAUXHALL STREET EXT, SUITE 326, WATERFORD, CT 06385-4330
(860) 442-8033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16165
CT
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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