Individual
JACQUES ROBERT DEPARDIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOM, LAC
Contact information
Practice address
6 THORNDAL CIR, DARIEN, CT 06820-5415
(203) 656-2000
(203) 656-1900
Mailing address
6 THORNDAL CIR, DARIEN, CT 06820-5415
(203) 656-2000
(203) 656-1900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000159
CT
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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