Individual
DAVID LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
567 VAUXHALL STREET EXTENSION, SUITE 218, WATERFORD, CT 06385
(860) 443-5822
(860) 444-0581
Mailing address
567 VAUXHALL STREET EXT, SUITE 218, WATERFORD, CT 06385-4330
(860) 443-5822
(860) 444-0581
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017370
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHN168798
MHN
—
01
—
NHSS04
OXFORD
—
Enumeration date
11/20/2006
Last updated
02/02/2022
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