Individual
DOREEN TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 COURT D BLDG 42, BRIDGEPORT, CT 06610
(203) 414-6102
Mailing address
243 COURT D BLDG 42, BRIDGEPORT, CT 06610
(203) 414-6102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
001616
CT
247200000X
Other Technician
Primary
001616
CT
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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