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Physicians Physical Medicine & Rehabilitation

Provider NPI: 1609025394

Organization Information:
Organization is not Subpart
Authorized Official:  ANTHONY  MAIETTA  OWNER  860-648-0659

Practice Location:
1477 PARK ST SUITE 14 HARTFORD, CT 06106-2235 US
Tel: 860-648-0659  Fax: --

Business Mailing Address:
1477 PARK ST SUITE 14 HARTFORD, CT 06106-2235 US
Tel: 860-648-0659  Fax: --

NPI Information:
NPI: 1609025394
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Physical Medicine & Rehabilitation

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 208100000X





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