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1104937994
DOUGLAS EDWIN TICHY
NEW HAVEN, CT
NPI
1104937994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001021)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- DOUGLAS EDWIN TICHY PA-C
800 HOWARD AVE YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519-1369
Phone number: 203-785-2140
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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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