Individual
NICOLE SOOKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 E MAIN ST, WATERBURY, CT 06705-3815
(203) 709-4001
(203) 709-5293
Mailing address
3801 E MAIN ST, WATERBURY, CT 06705-3815
(203) 709-4001
(203) 709-5293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46263
CT
Other
Enumeration date
08/31/2007
Last updated
01/26/2021
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