GARY M BERTMAN
Physician/surgeon


Address: 270 Montauk Ave, New London, CT 06320-4712

GARY M BERTMAN (Credential# 547304) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

GARY M BERTMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028661. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 270 Montauk Ave, New London, CT 06320-4712. The current status is active.

Basic Information

Licensee Name GARY M BERTMAN
Credential ID 547304
Credential Number 1.028661
Credential Type Physician/Surgeon
Business Address 270 Montauk Ave
New London
CT 06320-4712
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1987-11-20
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2019-12-23

Other licenses

ID Credential Code Credential Type Issue Term Status
154150 CSP.0015901 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE
1402332 1 Physician/Surgeon - PENDING

Office Location

Street Address 270 MONTAUK AVE
City NEW LONDON
State CT
Zip Code 06320-4712

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Competitor

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City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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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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