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Individual

DR. DAVID J.M. WHITEHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 EUCLID AVE, WATERBURY, CT 06710-1614
(203) 619-4696
Mailing address
111 EUCLID AVE, WATERBURY, CT 06710-1614
(203) 619-4696

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
028976
CT
2084N0400X
Neurology Physician
28976
CT
2084P0800X
Psychiatry Physician
Primary
28976
CT

Other

Enumeration date
08/09/2012
Last updated
09/17/2021
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