NPI 1497453591
CT Cranial Prosthesis Specialist
Practice location
- Address
- 35 Fairview Ter, Derby, CT 06418-1414
- Phone
- (203) 360-3446
Authorised official
- Name
- Paule Bien-Aime
- Title
- Owner
- Phone
- (203) 360-3446
Registered specialties
Prosthetist
Primary
Registry record
- NPI
- 1497453591
- Entity type
- Organization
- NPI issued
- 17 Feb 2023
- Record last updated
- 17 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.