Individual
BRYAN CRETELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 LOCK STREET, NEW HAVEN, CT 06511
(203) 432-0033
Mailing address
55 LOCK ST, NEW HAVEN, CT 06511-3603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010135
CT
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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