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Individual

DAVID PONTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
342 HARBOR ST, BRANFORD, CT 06405-4540
(203) 481-4248
(203) 483-7727
Mailing address
342 HARBOR STREET, BRANFORD, CT 06405
(203) 481-4248
(203) 483-7727

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
002164
CT
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
002164
CT

Other

Enumeration date
06/07/2013
Last updated
04/08/2015
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