Individual
MR. ALEX JOSEPH RAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.012864
CT
Other
Enumeration date
02/08/2024
Last updated
09/10/2024
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