BETH WITTENBERG
Physician/surgeon


Address: 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825-3546

BETH WITTENBERG (Credential# 1631289) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

BETH WITTENBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063513. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1817 Black Rock Tpke Ste 206, Fairfield, CT 06825-3546. The current status is active.

Basic Information

Licensee Name BETH WITTENBERG
Credential ID 1631289
Credential Number 1.063513
Credential Type Physician/Surgeon
Business Address 1817 Black Rock Tpke Ste 206
Fairfield
CT 06825-3546
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-05-29
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1987420 CSP.0072827 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-11-25 2019-11-25 - 2021-02-28 ACTIVE

Office Location

Street Address 1817 BLACK ROCK TPKE STE 206
City FAIRFIELD
State CT
Zip Code 06825-3546

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Interim Healthcare of Fairfield County 1817 Black Rock Tpke Ste 102, Fairfield, CT 06825-3546 Home Health Care 2019-10-01 ~ 2022-09-30
Paul R Rockoff 1817 Black Rock Tpke, Fairfield, CT 06825-3546 Dentist 2020-06-01 ~ 2021-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Alexander M Testani 77 Winoca Rd, Fairfield, CT 06825 Emergency Medical Technician 2020-06-26 ~ 2022-03-31
Salome Cleopatra Nail 2399 Black Rock Turnpike, Fairfield, CT 06825 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Angela M Carmona 198 Castle Ave, Fairfield, CT 06825 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Maria D Coutinho 131 Roseville Street, Fairfield, CT 06825 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jie Che 1519 Black Rock Tpke, Fairfield, CT 06825 Esthetician ~
Eva I Chiamulera 86 Brookfield Avenue, Fairfield, CT 06825 Landscape Architect 2020-08-01 ~ 2021-07-31
Suzanne P Taluy 558 Villa Ave, Fairfield, CT 06825 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Benjamin Allan Gott 262 Euclid Avenue, Fairfield, CT 06825 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Charles J Applebaum 841 Stratfield Rd, Fairfield, CT 06825 Dentist 2020-07-01 ~ 2021-06-30
Jeri Kriskey 1179 Merritt Street, Fairfield, CT 06825 Marital and Family Therapist Associate 2020-06-24 ~ 2022-06-24
Find all Licenses in zip 06825

Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06825
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

Similar businesses

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Beth A Schweitzer 234 Glenbrook Rd, Storrs, CT 06269-9099 Physician/surgeon 2020-08-01 ~ 2021-07-31
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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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