ARTEM DYATLOV

BRIDGEPORT, CT
NPI1316378615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CT  64955)
Additional Taxonomies208600000X Surgery
(Licence: PA  MD462842)
Enumeration Date2013-12-11
Last Update Date2021-10-18
Business Address
ARTEM DYATLOV M.D.
2660 MAIN ST STE 110
BRIDGEPORT, CT 06606-5301
Phone number: 203-332-4744
Mailing Address
ARTEM DYATLOV M.D.
2660 MAIN ST STE 110
BRIDGEPORT, CT 06606-5301
Phone number: 203-332-4744
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