Individual
BERTHNY MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 BEACON ST, WATERBURY, CT 06704-3424
(203) 574-3311
Mailing address
141 E MAIN ST FL 4, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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