Individual
DR. TIMOTHY CHARLES VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 CENTER ST, WEST HAVEN, CT 06516-4400
(203) 974-5907
(203) 974-5905
Mailing address
270 CENTER ST, WEST HAVEN, CT 06516-4400
(203) 974-5907
(203) 974-5905
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
49010
CT
2084P0804X
Child & Adolescent Psychiatry Physician
A48207
CA
Other
Enumeration date
02/13/2007
Last updated
12/04/2020
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