THOMAS M CEDDIA MD
Controlled Substance Registration for Practitioner


Address: 216 Ensign Dr, Mystic, CT 06355

THOMAS M CEDDIA MD (Credential# 157957) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

THOMAS M CEDDIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020692. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 216 Ensign Dr, Mystic, CT 06355. The current status is active.

Basic Information

Licensee Name THOMAS M CEDDIA MD
Credential ID 157957
Credential Number CSP.0020692
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 216 Ensign Dr
Mystic
CT 06355
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
550348 1.032748 Physician/Surgeon 1993-01-08 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 216 Ensign dr
City mystic
State CT
Zip Code 06355

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Competitor

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City mystic
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + mystic

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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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