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1427035906
BASILIO M GUANCO
MANCHESTER, CT
NPI
1427035906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 015050)
Enumeration Date
2005-12-27
Last Update Date
2011-10-11
Business Address
Dr. BASILIO M GUANCO MD
256 NORTH MAIN STREET
MANCHESTER, CT 06040
Phone number: 860-646-8595
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Mailing Address
Dr. BASILIO M GUANCO MD
256 NORTH MAIN STREET HARTFORD MEDICAL GROUP PC
MANCHESTER, CT 06042
Phone number: 860-696-2300
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