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Individual

DR. DAVID BRADSHAW PEARLSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
166 SPORT HILL RD, EASTON, CT 06612-2203
(203) 913-0969
Mailing address
166 SPORT HILL RD, EASTON, CT 06612-2203
(203) 913-0969

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
44328
CT
2086X0206X
Surgical Oncology Physician
Primary
44328
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44328
CT LICENSE
CT
Enumeration date
10/14/2005
Last updated
02/03/2014
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