Individual
DR. DIANA LEVISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
136 ELM ST, NEW CANAAN, CT 06840-5406
(203) 966-9593
(203) 966-9473
Mailing address
136 ELM ST, NEW CANAAN, CT 06840-5406
(203) 966-9593
(203) 966-9473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6504
CT
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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