NPI 1548634454

Rian Degroat, CMA

Practitioner Case Manager/Care Coordinator Milford, CT

Practice location

Address: 949-941 Bridgeport Ave, Milford, CT 06460
Phone: (203) 878-6365
Fax: (203) 874-5252
Mailing address: 496 Oak Ave APT 29, Cheshire, CT 06410-3020

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 2404122 (NJ)

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Registry record

NPI: 1548634454
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2015
Record last updated: 17 Nov 2015

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.