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1306909379
MARK S GROGAN
DERBY, CT
NPI
1306909379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0011X Internal Medicine, Interventional Cardiology
(Licence: CT 026818)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
-- MARK S GROGAN MD
130 DIVISION STREET
DERBY, CT 06418
Phone number: 203-732-7455
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Mailing Address
-- MARK S GROGAN MD
PO BOX 354
DERBY, CT 06418
Phone number: 203-732-7455
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