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Individual

DR. GEOFFREY ETHERINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
302 RTE 81, KILLINGWORTH, CT 06419
(860) 663-0224
Mailing address
302 RTE 81, KILLINGWORTH, CT 06419
(860) 663-0224

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
019586
CT
208D00000X
General Practice Physician
Primary
019586
CT

Other

Enumeration date
10/28/2016
Last updated
10/28/2016
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