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1508286576
ILYA FATAKHOV
STAMFORD, CT
NPI
1508286576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 56588)
Enumeration Date
2014-04-17
Last Update Date
2019-07-29
Business Address
DR. ILYA FATAKHOV M.D.
1 HOSPITAL PLZ DEPT OF
STAMFORD, CT 06902-3602
Phone number: 203-276-7298
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Mailing Address
DR. ILYA FATAKHOV M.D.
1 HOSPITAL PLZ DEPT OF
STAMFORD, CT 06902-3602
Phone number: 203-276-7147
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