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1417414038
MAX PIANKA
MERIDEN, CT
NPI
1417414038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CT 12.008116)
Enumeration Date
2019-03-01
Last Update Date
2019-09-16
Business Address
MAX PIANKA APRN
435 LEWIS AVE
MERIDEN, CT 06451-2101
Phone number: 203-694-5701
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Mailing Address
MAX PIANKA APRN
59 BUNNY RD
PRESTON, CT 06365-8705
Phone number:
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