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1083439574
BRIAN JAMES ROACH
NEW HAVEN, CT
NPI
1083439574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 14174)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
BRIAN JAMES ROACH NP
329 GREENE ST UNIT 3
NEW HAVEN, CT 06511-6968
Phone number: 510-566-1920
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Mailing Address
BRIAN JAMES ROACH NP
329 GREENE ST UNIT 3
NEW HAVEN, CT 06511-6968
Phone number: 510-566-1920
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