Individual
ELIZABETH SUSAN DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 253-5330
Mailing address
77 LEE DR, SOUTHINGTON, CT 06489-2926
(860) 944-5849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7641
CT
Other
Enumeration date
06/05/2018
Last updated
08/29/2018
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