JUDY C HUANG-BULGER MD
Controlled Substance Registration for Practitioner


Address: 720 Spring Street, Manchester, CT 06040

JUDY C HUANG-BULGER MD (Credential# 406846) 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

JUDY C HUANG-BULGER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037568. 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 720 Spring Street, Manchester, CT 06040. The current status is active.

Basic Information

Licensee Name JUDY C HUANG-BULGER MD
Credential ID 406846
Credential Number CSP.0037568
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 720 Spring Street
Manchester
CT 06040
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-06-08
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-31

Other licenses

ID Credential Code Credential Type Issue Term Status
560926 1.043344 Physician/Surgeon 2005-04-21 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 720 SPRING STREET
City MANCHESTER
State CT
Zip Code 06040

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Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
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Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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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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