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1497094924
FREDERIC TAYLOR MAUCK
FARMINGTON, CT
NPI
1497094924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CT 011113)
Enumeration Date
2013-02-04
Last Update Date
2013-02-06
Business Address
Dr. FREDERIC TAYLOR MAUCK M.D.
12 PORTER RD
FARMINGTON, CT 06032-2221
Phone number: 860-677-2474
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Mailing Address
Dr. FREDERIC TAYLOR MAUCK M.D.
12 PORTER ROAD
FARMINGTON, CT 06032
Phone number: 860-677-2474
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