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1497732564
EDWARD M EWALD
EAST GRANBY, CT
NPI
1497732564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 018024)
Enumeration Date
2005-12-29
Last Update Date
2007-07-08
Business Address
Mr. EDWARD M EWALD MD
13 CHURCH RD
EAST GRANBY, CT 06026-0518
Phone number: 860-653-4526
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Mailing Address
Mr. EDWARD M EWALD MD
PO BOX 518 13 CHURCH RD
EAST GRANBY, CT 06026-0518
Phone number: 860-653-4526
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