Individual
DEIRDRE BRIANNE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
160 HAWLEY LN, SUITE 104, TRUMBULL, CT 06611-5300
(203) 377-0639
(203) 386-9706
Mailing address
160 HAWLEY LN, SUITE 104, TRUMBULL, CT 06611-5300
(203) 377-0639
(203) 386-9706
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
001826
CT
Other
Enumeration date
11/01/2006
Last updated
03/26/2014
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