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1174509095
ERIC ANTON FEDERER
TORRINGTON, CT
NPI
1174509095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 003074)
Enumeration Date
2005-12-22
Last Update Date
2011-06-09
Business Address
Mr. ERIC ANTON FEDERER APRN
538 LITCHFIELD ST
TORRINGTON, CT 06790-6669
Phone number: 860-489-5068
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Mailing Address
Mr. ERIC ANTON FEDERER APRN
27 BELL HILL ROAD
WASHINGTON, CT 06793
Phone number: 860-868-2625
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