Organization
DIGESTIVE DISEASE ASSOCIATES, LLC
Active
Organization
DIGESTIVE DISEASE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DUNBAR ILLICK MD (PARTNER)
(203) 481-0315
Entity
Organization
Contact information
Practice address
1224 MAIN ST, BRANFORD, CT 06405-3778
(203) 481-0315
(203) 481-6788
Mailing address
687 MAIN ST, BRANFORD, CT 06405-3612
(203) 481-7050
(203) 488-6945
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004070314
—
CT
Enumeration date
02/05/2007
Last updated
01/12/2024
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