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1114150588
JAIRO MAURICIO MONTEZUMA- RUSCA
FARMINGTON, CT
NPI
1114150588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CT 52396)
Enumeration Date
2009-09-01
Last Update Date
2022-07-11
Business Address
JAIRO MAURICIO MONTEZUMA- RUSCA MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-3245
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Mailing Address
JAIRO MAURICIO MONTEZUMA- RUSCA MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-8082
Phone number: 860-679-3692
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