Individual
DR. DEBORAH DENISE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LOCK STREET, NEW HAVEN, CT 06511
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
037149
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001371492
—
CT
Enumeration date
11/22/2005
Last updated
01/24/2012
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