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Physicians Internal Medicine Hematology

Provider NPI: 1881664886

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
24 STEVENS ST  NORWALK, CT 06850-3852 US
Tel: 203-852-2368  Fax: 203-855-3589

Business Mailing Address:
280 NEWTOWN TPKE  WESTON, CT 06883-1320 US
Tel: 203-952-5929  Fax: --

NPI Information:
NPI: 1881664886
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Internal Medicine

Other Provider Identifiers:

ANTHEM B/C010021096CT01CT01

American Medical Association 2012 taxonomy code information

Code: 207RH0000X





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