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1083860761
ALEXANDER JAMES EJZAK
NEW LONDON, CT
NPI
1083860761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 002130)
Enumeration Date
2008-08-13
Last Update Date
2019-02-26
Business Address
ALEXANDER JAMES EJZAK P.A.
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
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Mailing Address
ALEXANDER JAMES EJZAK P.A.
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
Copy
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