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1376574178
KYLE CUSTIS
WESTPORT, CT
NPI
1376574178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 044385)
Enumeration Date
2006-07-06
Last Update Date
2015-02-09
Business Address
-- KYLE CUSTIS M.D.
129 KINGS HWY N
WESTPORT, CT 06880-2438
Phone number: 203-221-3030
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Mailing Address
-- KYLE CUSTIS M.D.
19 TREADWELL LN
WESTON, CT 06883-1949
Phone number: 203-223-9167
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