Individual
LOUIS TREVISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 OLD KINGS HWY S, SUITE 1-2, DARIEN, CT 06820-4522
(203) 655-1559
(203) 655-1914
Mailing address
17 OLD KINGS HWY S, SUITE 1-2, DARIEN, CT 06820-4522
(203) 655-1559
(203) 655-1914
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
031693
CT
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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