Individual
E SPENCER JOSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 RIVER RD, MIDDLETOWN, CT 06457-3921
(860) 704-4045
(860) 704-4301
Mailing address
915 RIVER ROAD, P.O. BOX 2797, MIDDLETOWN, CT 06457-2797
(860) 704-4045
(860) 704-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037683
CT
207QA0000X
Adolescent Medicine (Family Medicine) Physician
037683
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01376830
—
CT
Enumeration date
03/14/2006
Last updated
03/26/2018
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