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Physicians Medical Genetics Clinical Genetics (M.D.)

Provider NPI: 1063471092

Provider Information:
Gender: M

Practice Location:
Tel: 203-384-3873  Fax: 203-384-3829

Business Mailing Address:
PO BOX 5246  BRIDGEPORT, CT 06610-0246 US
Tel: 203-384-3873  Fax: 203-384-3829

NPI Information:
NPI: 1063471092
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Medical Genetics
Clinical Genetics (M.D.)
Obstetrics & Gynecology
Obstetrics & Gynecology

Other Provider Identifiers:



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