Individual
DAVID DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.003656
CT
363AM0700X
Medical Physician Assistant
003656
CT
Other
Enumeration date
08/23/2016
Last updated
03/17/2018
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