Individual
DR. HOWARD LEE DISTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 BOSTON ST, GUILFORD, CT 06437-2960
(203) 453-3100
(203) 458-9456
Mailing address
515 BOSTON ST, GUILFORD, CT 06437-2960
(203) 453-3100
(203) 458-9456
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
028769
CT
Other
Enumeration date
08/24/2006
Last updated
10/18/2013
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