DOUGLAS EDWIN TICHY

NEW HAVEN, CT
NPI1104937994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  001021)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
DOUGLAS EDWIN TICHY PA-C
800 HOWARD AVE YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519-1369
Phone number: 203-785-2140
Mailing Address
DOUGLAS EDWIN TICHY PA-C
PO BOX 9805 300 GEORGE ST 6TH FLR
NEW HAVEN, CT 06536-0805
Phone number: 203-785-7998
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