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Individual

DR. HERMAN DAVID COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
96 COLD SPRING RD, AVON, CT 06001-4053
(860) 673-4823
(860) 404-0865
Mailing address
96 COLD SPRING RD, AVON, CT 06001-4053
(860) 673-4823
(860) 404-0865

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
035446
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00135446401
CT
01
27929
CONTROLLED SUBSTANCE
CT
Enumeration date
06/29/2006
Last updated
03/07/2023
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