Individual
DEBORAH AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 STEVENS ST, NORWALK HOSPITAL - 5TH FLOOR LABORATORY, NORWALK, CT 06850-3852
(203) 852-2649
(203) 899-1518
Mailing address
24 STEVENS ST, NORWALK HOSPITAL - 5TH FLOOR LABORATORY, NORWALK, CT 06850-3852
(203) 852-2649
(203) 899-1518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
054804
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
77828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3111229
—
MA
01
—
P0013468
RR MEDICARE
MA
Enumeration date
12/14/2005
Last updated
01/11/2019
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