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Individual

CARINE JEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
203 BROAD ST UNIT C-4, MILFORD, CT 06460-4750
(203) 880-9003
(203) 268-8075
Mailing address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7522
(203) 551-7037

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
033954
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001339549
CT
Enumeration date
11/08/2005
Last updated
09/26/2023
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