James H. Revkin Md Physician/surgeon
12 Highland Avenue, Branford, CT 064054715


James H. Revkin Md is licensed in the eLicensing system of Connecticut. The license credential ID is 545325. The license type is Physician/Surgeon. The license status is ACTIVE. The address is 12 Highland Avenue, Branford, CT 064054715. The zip code is 06405.


James H. Revkin Md · 12 Highland Avenue, Branford, CT 064054715

Credential ID 545325
Name JAMES H. REVKIN MD
Type INDIVIDUAL
Address 12 Highland Avenue
Branford, CT 064054715
License Credential Physician/Surgeon
Full Credential Code 1.025158
Credential Type 1
Credential Number 25158
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 04/20/1990
Effective Date 11/01/2016
Expiration Date 10/31/2017
Record Refresh Date 08/19/201

JAMES H. REVKIN MD · Connecticut Business

James H. Revkin Md · Controlled Substance Registration for Practitioner 12 Highland Avenue, Branford, CT 064054715

Zip 06405 · Physician/surgeon · Connecticut Business

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