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Physicians Physical Medicine & Rehabilitation

Provider NPI: 1942281662

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 860-442-0711  Fax: 860-442-0262

Business Mailing Address:
Tel: 860-464-3045  Fax: 860-464-3043

NPI Information:
NPI: 1942281662
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 208100000X





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