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1477551869
SURESH MANDAVA
STAMFORD, CT
NPI
1477551869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CT 036932)
Enumeration Date
2005-07-11
Last Update Date
2018-03-27
Business Address
Dr. SURESH MANDAVA M.D.
2046 W MAIN ST STE 2
STAMFORD, CT 06902-4523
Phone number: 203-869-3082
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Mailing Address
Dr. SURESH MANDAVA M.D.
2046 W MAIN ST STE 2
STAMFORD, CT 06902-4523
Phone number: 203-869-3082
Copy
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