Individual
JOHN MICHAEL DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 VILLAGE STREET, SUITE 10, NORTH HAVEN, CT 06473
(203) 562-8140
(203) 562-7265
Mailing address
12 VILLAGE STREET, SUITE 10, NORTH HAVEN, CT 06473
(203) 562-8140
(203) 562-7265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002017
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002017CT01
BCBS
—
01
—
0V1735
HEALTHNET
—
01
—
37401
CIGNA
—
01
—
897715
AETNA
—
01
—
A531345
OXFORD
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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