GARY M DIDATO MD
Controlled Substance Registration for Practitioner


Address: 530 Saybrook Rd, Middletown, CT 06457-4752

GARY M DIDATO MD (Credential# 183577) 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

GARY M DIDATO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025698. 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 530 Saybrook Rd, Middletown, CT 06457-4752. The current status is active.

Basic Information

Licensee Name GARY M DIDATO MD
Credential ID 183577
Credential Number CSP.0025698
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 530 Saybrook Rd
Middletown
CT 06457-4752
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 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
537470 CSP.0045883 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-07-20 2019-03-01 - 2021-02-28 ACTIVE
553604 1.036012 Physician/Surgeon 1997-05-16 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 530 SAYBROOK RD
City MIDDLETOWN
State CT
Zip Code 06457-4752

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Competitor

Search similar business entities

City MIDDLETOWN
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN

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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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