Soo Dewolf
NPI #1699143685 in Brooklyn, Connecticut
Provider Information
- NPI Number
- 1699143685
- Entity Type
- Individual
- Name
- Soo Dewolf
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 8, 2015
- Last Updated
- Sep 8, 2015
Practice Location
- Address
- 450 PROVIDENCE RD
- City
- Brooklyn
- State
- Connecticut
- ZIP Code
- 06234-1823
- Phone
- (860) 412-5144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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