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1114053204
VICTOR ROBERT QUINTANILLA
NEW HAVEN, CT
NPI
1114053204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 001468)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. VICTOR ROBERT QUINTANILLA P.A.
1450 CHAPEL ST DEPARTMENT OF SURGERY
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3501
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Mailing Address
Mr. VICTOR ROBERT QUINTANILLA P.A.
640 MIX AVE APT#3E
HAMDEN, CT 06514-2352
Phone number: 203-288-2385
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