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Individual

DR. GRAHAM DERSNAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
267 GRANT STREET, DEPARTMENT OF OBSTETRICS & GYNECOLOGY, BRIDGEPORT, CT 06610
(203) 384-3990
Mailing address
267 GRANT STREET, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, BRIDGEPORT, CT 06610
(203) 384-3990

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/27/2021
Last updated
09/18/2021
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