THEODORE GEORGIAN LONG

NEW HAVEN, CT
NPI1265757454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CT  52498)
Enumeration Date2010-03-31
Last Update Date2013-10-25
Business Address
-- THEODORE GEORGIAN LONG M.D.
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-2470
Mailing Address
-- THEODORE GEORGIAN LONG M.D.
333 CEDAR ST P.O. BOX 208088
NEW HAVEN, CT 06510-3206
Phone number: 203-785-4148
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