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BRUCE A. BERLOW M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1720065154

Individual Registrant:
 BRUCE A. BERLOW M.D.
Gender: M

Location and contact information for practice:
23 CLARA DR SUITE 204 MYSTIC, CT 06355-1959 US
Tel: 860-536-2995  Fax: 860-572-0265

Contact information for business:
23 CLARA DR SUITE 204 MYSTIC, CT 06355-1959 US
Tel: 860-536-2995  Fax: 860-572-0265

Registration Information:
NPI: 1720065154
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
CT036951

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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