Deirdre Brianne Cannon, PAC

NPI #1568549996 in Trumbull, Connecticut

Provider Information

NPI Number: 1568549996
Entity Type: Individual
Name: Deirdre Brianne Cannon, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: PAC
Enumeration Date: Nov 1, 2006
Last Updated: Mar 26, 2014

Practice Location

Address: 160 HAWLEY LN
Address 2: SUITE 104
City: Trumbull
State: Connecticut
ZIP Code: 06611-5300
Phone: (203) 377-0639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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