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Individual

ELIZABETH CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049351
CT
208D00000X
General Practice Physician
49351
CT
208M00000X
Hospitalist Physician
49351
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012740
MA
Enumeration date
07/28/2006
Last updated
12/01/2020
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