Individual
DENISE EILLEEN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4 WEST TRACT RD, CROMWELL, CT 06416-1321
(860) 227-4235
Mailing address
4 WEST TRACT RD, CROMWELL, CT 06416-1321
(860) 227-4235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA #004923
CT
Other
Enumeration date
07/05/2012
Last updated
08/30/2012
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