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Individual

DR. VERONICA G WAKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
25 3RD ST STE 320, STAMFORD, CT 06905-5129
(203) 331-1490
Mailing address
83 FOREST ST, BRIDGEPORT, CT 06604-5234
(215) 240-0838

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000359
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110000359CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
07/24/2007
Last updated
07/24/2007
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