MARTIN M JOSEPHSON MD (Credential# 539664) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
MARTIN M JOSEPHSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010334. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 635 North Trl # A, Stratford, CT 06614-8217. The current status is active.
Licensee Name | MARTIN M JOSEPHSON MD |
Credential ID | 539664 |
Credential Number | 1.010334 |
Credential Type | Physician/Surgeon |
Business Address |
635 North Trl # A Stratford CT 06614-8217 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1961-01-04 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-10-30 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163830 | CSP.0022137 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 635 NORTH TRL # A |
City | STRATFORD |
State | CT |
Zip Code | 06614-8217 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06614 |
City | STRATFORD |
Zip Code | 06614 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STRATFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alan Ira Josephson | 425 Angell Street, Providence, RI 02906 | Physician/surgeon | 1970-09-10 ~ 1980-07-31 |
Ronald P Josephson Md | Prime Haltcare, PC, Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Martin B. Leon | 1 Spector Rd, Woodbridge, CT 06525-1730 | Physician/surgeon | 1977-05-19 ~ 1982-05-31 |
Martin Maimon | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Martin Bauermeister | 17 Bay St, Wickford, RI 02852 | Physician/surgeon | 2000-02-15 ~ 2000-11-30 |
Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
Spencer K Martin Md | Po Box 2473, Darien, CT 06820 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Katharine H Martin | 709 A Heritage, Southbury, CT 06488 | Physician/surgeon | 1995-03-23 ~ 1996-05-31 |
Garrett R Martin Dr | 404 State St, Bangor, ME 04401 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
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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).