Individual
JOEL BROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 TODDY HILL ROAD, MASONICARE AT NEWTOWN, NEWTOWN, CT 06470
(203) 364-3258
(203) 364-3223
Mailing address
139 TODDY HILL ROAD, MASONICARE AT NEWTOWN, NEWTOWN, CT 06470
(203) 364-3258
(203) 364-3223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17019
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17019
LICENSE
CT
Enumeration date
08/28/2012
Last updated
09/24/2012
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