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Joseph Conrad, LADC

NPI 1497264014 · on the registry since 2017 · sole proprietor

Practice

Address
17 Church Street
New Preston, CT 06777
Phone
(203) 528-7852

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-26

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