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1497782825
RICHARD SAMUEL KISSON
BRIDGEPORT, CT
NPI
1497782825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001085)
Enumeration Date
2006-06-28
Last Update Date
2014-09-18
Business Address
-- RICHARD SAMUEL KISSON PA-C
2800 MAIN ST ST.VINCENT'S MULTISPECIALTY GROUP
BRIDGEPORT, CT 06606-4201
Phone number: 203-576-6133
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Mailing Address
-- RICHARD SAMUEL KISSON PA-C
125 EDGEFIELD AVE
MILFORD, CT 06460-7833
Phone number: 203-878-7717
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