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1497751739
DEBORAH A DEHERTOGH
FARMINGTON, CT
NPI
1497751739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 023859)
Enumeration Date
2005-06-22
Last Update Date
2012-08-17
Business Address
-- DEBORAH A DEHERTOGH MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4477
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Mailing Address
-- DEBORAH A DEHERTOGH MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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