Individual
GWENDELINE C DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
(860) 892-6983
Mailing address
326 WASHINGTON ST, WILLIAM W BACKUS HOSPITAL, NORWICH, CT 06360
(860) 889-8331
(860) 892-6983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001285
CT
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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