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NPI Code Detail

MEDICARE: DR. DEBRA KOTOSKI RESSLER M.D.

MEDICARE:  DR. DEBRA KOTOSKI RESSLER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0015XPsychosomatic Medicine Physician032752CT

General Provider Information

NPI Number : 1164647541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA KOTOSKI RESSLER M.D.
Provider Business Mailing Address
First Line : 4 STURGES HOLW
Second Line :
City : WESTPORT
State : CT
Zip : 06880-2851
Country : US
Telephone Number : 203-247-4905
Fax Number :
Provider Business Practice Location Address
First Line : 3 SYLVAN RD S
Second Line :
City : WESTPORT
State : CT
Zip : 06880-4642
Country : US
Telephone Number : 203-247-4905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DEBRA KOTOSKI RESSLER M.D.” Practice Location

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