Provider Information for 1801490040
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CUTTER AUGUSTUS LINDBERGH Ph.D.
Sex: Male
NPI: 1801490040
Last Updated: 2022-12-04
Certification Date: 2022-12-04
Certification Date: 2022-12-04
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801490040 | ||||||||||||||
| Enumeration Date | 2020-11-29 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 40 CARLETON RD WEST HARTFORD, CT 06107-3711 United States Phone: 406-493-7072 | Fax: | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-0002 United States Phone: 406-493-7072 | Fax: | ||||||||||||||
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