Organization
ENDOCRINOLOGY ASSCOCIATES OF SOUTHERN CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DUBEN MD (OWNER)
(203) 372-4636
Entity
Organization
Contact information
Practice address
3715 MAIN ST, BRIDGEPORT, CT 06606-3611
(203) 372-4636
(203) 372-4188
Mailing address
3715 MAIN ST, BRIDGEPORT, CT 06606-3618
(203) 372-4636
(203) 372-4188
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
041464
CT
Other
Enumeration date
10/01/2007
Last updated
09/29/2009
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