Douglas L Idelson Md Physician/surgeon
76 Quarry Dock Rd., Branford, CT 06405


Douglas L Idelson Md is licensed in the eLicensing system of Connecticut. The license credential ID is 557105. The license type is Physician/Surgeon. The license status is ACTIVE. The address is 76 Quarry Dock Rd., Branford, CT 06405. The zip code is 06405.


Douglas L Idelson Md · 76 Quarry Dock Rd., Branford, CT 06405

Credential ID 557105
Name DOUGLAS L IDELSON MD
Type INDIVIDUAL
Address 76 QUARRY DOCK RD.
BRANFORD, CT 06405
License Credential Physician/Surgeon
Full Credential Code 1.039521
Credential Type 1
Credential Number 39521
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 05/11/2001
Effective Date 11/01/2015
Expiration Date 10/31/2016
Record Refresh Date 11/03/201

DOUGLAS L IDELSON MD · Connecticut Business

Douglas L Idelson Md · Controlled Substance Registration for Practitioner 76 Quarry Dock Rd., Branford, CT 06405

Zip 06405 · Physician/surgeon · Connecticut Business

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