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Individual

CHRISTOPHER M DESANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 WILLARD AVE, NEWINGTON, CT 06111-2650
(860) 666-5601
Mailing address
505 WILLARD AVE, NEWINGTON, CT 06111-2650
(860) 666-5601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050285
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02379179
NY
Enumeration date
04/28/2006
Last updated
04/08/2016
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