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1073524104
SLAVA I KULAKOV
FAIRFIELD, CT
NPI
1073524104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 036896)
Enumeration Date
2006-08-11
Last Update Date
2019-06-25
Business Address
DR. SLAVA I KULAKOV MD
134 ROUND HILL RD
FAIRFIELD, CT 06824
Phone number: 203-255-0695
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Mailing Address
DR. SLAVA I KULAKOV MD
765 MAIN ST STE 100
MONROE, CT 06468-2810
Phone number: 203-255-0695
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