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1225036981
PAUL J LICATA
NEW LONDON, CT
NPI
1225036981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CT 000413)
Enumeration Date
2005-07-07
Last Update Date
2007-10-18
Business Address
Dr. PAUL J LICATA D.O.
492 MONTAUK AVE
NEW LONDON, CT 06320-4615
Phone number: 860-443-0305
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Mailing Address
Dr. PAUL J LICATA D.O.
492 MONTAUK AVE
NEW LONDON, CT 06320-4615
Phone number: 860-443-0305
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