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DR. MICHEL C MENNESSON M.D.

Psychosomatic Medicine >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1063621506

Individual Registrant:
DR. MICHEL C MENNESSON M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
175 ARCH BRIDGE RD  BETHLEHEM, CT 06751-1613 US
Tel: 203-366-6164  Fax: 203-266-6163

Contact information for business:
175 ARCH BRIDGE RD  BETHLEHEM, CT 06751-1613 US
Tel: 203-366-6164  Fax: 203-266-6163

Registration Information:
NPI: 1063621506
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0015XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychosomatic Medicine
CT024353

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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