Individual
JUSTIN RICHARD LEDUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 SUMMIT ST, FERRIS ATHLETIC CENTER, HARTFORD, CT 06106-3100
(504) 491-1823
Mailing address
220 W MAIN ST APT 10, PLANTSVILLE, CT 06479-1150
(860) 378-4754
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/18/2005
Last updated
10/30/2008
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