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1205413085
RAVIN DEFONSEKA
STAMFORD, CT
NPI
1205413085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO DR.0073481)
Enumeration Date
2021-03-26
Last Update Date
2024-08-06
Business Address
Dr. RAVIN DEFONSEKA MD
1 HOSPITAL PLZ
STAMFORD, CT 06902-3602
Phone number: 203-276-7147
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Mailing Address
Dr. RAVIN DEFONSEKA MD
1 HOSPITAL PLZ
STAMFORD, CT 06902-3602
Phone number: 203-276-7147
Copy
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