Individual
SCOTT EVAN GLUCKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
125 ROXBURY RD, STAMFORD, CT 06902-1295
(203) 912-5206
Mailing address
140 CLUB RD, STAMFORD, CT 06905-2120
(203) 912-5206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
54.000577
CT
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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