Individual
DR. BRENDA L PLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
O'BRIEN DRIVE, MIDDLETOWN, CT 06457
(860) 262-5486
Mailing address
PO BOX 70--O'BRIEN DRIVE, MIDDLETOWN, CT 06457
(860) 262-5486
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
034645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034645
CONN LICENSE
CT
Enumeration date
02/07/2006
Last updated
07/08/2007
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