SearchConnecticut183500000X

Walter Douglass

NPI 1205423738 · on the registry since 2020 · sole proprietor

Practice

Address
221 Main Street
Durham, CT 06422
Phone
(860) 349-3478
Fax
(860) 349-1240

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut