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1437319019
ELIZA FANTARELLA
NEW HAVEN, CT
NPI
1437319019
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Former Name
ELIZA ADDIS-THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CT 000867)
Enumeration Date
2008-06-17
Last Update Date
2016-06-30
Business Address
-- ELIZA FANTARELLA DPM
330 ORCHARD ST
NEW HAVEN, CT 06511
Phone number: 203-789-3152
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Mailing Address
-- ELIZA FANTARELLA DPM
330 ORCHARD ST
NEW HAVEN, CT 06511
Phone number: 203-789-3152
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