DIANE L WHITAKER

FARMINGTON, CT
NPI1124026398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CT  032383)
Enumeration Date2005-07-12
Last Update Date2022-07-11
Business Address
-- DIANE L WHITAKER MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4600
Mailing Address
-- DIANE L WHITAKER MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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