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Individual

DR. DUFFIELD ASHMEAD IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
622 HEBRON AVE STE 205, GLASTONBURY, CT 06033-2421
(860) 527-7161
(860) 652-8410
Mailing address
622 HEBRON AVE STE 205, GLASTONBURY, CT 06033-2421
(860) 527-7161
(860) 652-8410

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
027669
CT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
72702
MA
2086S0105X
Surgery of the Hand (Surgery) Physician
027669
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
027669
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001276692
CT
Enumeration date
08/29/2006
Last updated
06/10/2025
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