Individual
MR. CHRISTOPHER DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 974-1976
Mailing address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4687
CT
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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