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>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1710980149

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
269 CHURCH ST  AMSTON, CT 06231-1403 US
Tel: 860-228-9463  Fax: 860-228-3766

Contact information for business:
269 CHURCH ST  AMSTON, CT 06231-1403 US
Tel: 860-228-9463  Fax: 860-228-3766

Registration Information:
NPI: 1710980149
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine

Legacy codes, insurance codes and state license numbers:



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