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Individual

GUY TORSTENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5067
Mailing address
56 QUARRY RD, TRUMBULL, CT 06611-4874
(203) 696-3672

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
001175547
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001175547
CT
Enumeration date
11/10/2005
Last updated
09/28/2011
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