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Individual

DR. EPHRAIM P BARTFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
380 MAIN ST, WATERTOWN, CT 06795-2260
(860) 274-8891
(860) 274-8895
Mailing address
380 MAIN ST, WATERTOWN, CT 06795-2260
(860) 274-8891
(860) 274-8895

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035903
CT
2080A0000X
Pediatric Adolescent Medicine Physician
035903
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001359034
CT
Enumeration date
08/01/2006
Last updated
11/15/2013
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