Individual
GREGORY LAWRENCE BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
131 POST RD E, WESTPORT, CT 06880-3410
(203) 226-2682
Mailing address
131 POST RD E, WESTPORT, CT 06880-3410
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000481
CT
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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