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1063472017
CARL K GJERTSON
FARMINGTON, CT
NPI
1063472017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CT 045171)
Additional Taxonomies
2088P0231X
(Licence: CT 045171)
Enumeration Date
2006-03-24
Last Update Date
2022-07-11
Business Address
-- CARL K GJERTSON M.D.
263 FARMINGTON AVE UROLOGY
FARMINGTON, CT 06030-6227
Phone number: 860-679-4100
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Mailing Address
-- CARL K GJERTSON M.D.
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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