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Individual

MARY BETH VAN SICLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6 MAIN ST, DURHAM, CT 06422-2130
(860) 358-5020
(860) 358-8652
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4870
(860) 358-8661

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61380
CT

Other

Enumeration date
05/12/2014
Last updated
02/05/2026
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