Individual
AUSTIN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 LITCHFIELD ST, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Mailing address
540 LITCHFIELD ST, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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