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1104026293
GAIL FULCO-TANTORSKI
BRIDGEPORT, CT
NPI
1104026293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 000471)
Enumeration Date
2007-07-18
Last Update Date
2024-03-26
Business Address
Mrs. GAIL FULCO-TANTORSKI PA-C
2800 MAIN ST DEPT. OF SURGERY
BRIDGEPORT, CT 06606-4201
Phone number: 203-576-6000
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Mailing Address
Mrs. GAIL FULCO-TANTORSKI PA-C
2600 MAIN ST DEPT. OF SURGERY
BRIDGEPORT, CT 06606-5305
Phone number: 203-576-6000
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