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1316378615
ARTEM DYATLOV
BRIDGEPORT, CT
NPI
1316378615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CT 64955)
Additional Taxonomies
208600000X Surgery
(Licence: PA MD462842)
Enumeration Date
2013-12-11
Last Update Date
2021-10-18
Business Address
ARTEM DYATLOV M.D.
2660 MAIN ST STE 110
BRIDGEPORT, CT 06606-5301
Phone number: 203-332-4744
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Mailing Address
ARTEM DYATLOV M.D.
2660 MAIN ST STE 110
BRIDGEPORT, CT 06606-5301
Phone number: 203-332-4744
Copy
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