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DR. GEOFFREY ETHERINGTON M.D.
Preventive Medicine/Occupational Environmental Medicine >> Preventive Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1689126336
Individual Registrant:DR. GEOFFREY ETHERINGTON M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
302 RTE 81 KILLINGWORTH, CT 06419 US
Tel: 860-663-0224 Fax: --
Tel: 860-663-0224 Fax: --
Contact information for business:
302 RTE 81 KILLINGWORTH, CT 06419 US
Tel: 860-663-0224 Fax: --
Tel: 860-663-0224 Fax: --
Registration Information:
NPI: 1689126336
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2083P0500X | Allopathic & Osteopathic Physicians Preventive Medicine Preventive Medicine/Occupational Environmental Medicine | CT | 019586 |
| Y | 208D00000X | Allopathic & Osteopathic Physicians General Practice | CT | 019586 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
