JEREMY DITELBERG
Physician/surgeon


Address: 114 Denise Ter, Fairfield, CT 06824-3406

JEREMY DITELBERG (Credential# 1344973) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JEREMY DITELBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055303. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 114 Denise Ter, Fairfield, CT 06824-3406. The current status is active.

Basic Information

Licensee Name JEREMY DITELBERG
Credential ID 1344973
Credential Number 1.055303
Credential Type Physician/Surgeon
Business Address 114 Denise Ter
Fairfield
CT 06824-3406
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-05-25
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-13

Office Location

Street Address 114 DENISE TER
City FAIRFIELD
State CT
Zip Code 06824-3406

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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Jeremy S Breit 16 Stream Ct, Farmington, CT 06032 Physician/surgeon 2005-11-28 ~ 2006-12-31
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Jeremy J. Moeller 39 Dawes Ave, Hamden, CT 06517 Physician/surgeon 2020-09-01 ~ 2021-08-31
Jeremy S Miller 520 Marsh Park Dr, Duluth, GA 30097 Physician/surgeon 2019-11-01 ~ 2020-10-31
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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