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1386173201
BEAVER POND BROOK EMERGENCY PHYSICIANS LLC
WATERBURY, CT
NPI
1386173201
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Entity Type
Organization
Authorized Contact
RUSSELL HARRIS
Officer
469-401-2386
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
BEAVER POND BROOK EMERGENCY PHYSICIANS LLC
3081 E MAIN ST
WATERBURY, CT 06705-3424
Phone number: 469-401-2386
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Mailing Address
BEAVER POND BROOK EMERGENCY PHYSICIANS LLC
13737 NOEL RD STE 1600
DALLAS, TX 75240-1374
Phone number: 469-401-2386
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