Individual
MICHAEL G DEOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 PERSHING DR, ANSONIA, CT 06401-2214
(203) 735-7837
Mailing address
41 MAPLE AVE, DERBY, CT 06418-1328
(508) 353-2288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014915
CT
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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