CHARLES J LICATA

BRISTOL, CT
NPI1538172523
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CT  000359)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
DR. CHARLES J LICATA DO
625 CLARK AVE
BRISTOL, CT 06010-4068
Phone number: 860-583-7700
Mailing Address
DR. CHARLES J LICATA DO
4 FARM SPRINGS RD PROHEALTH PHYSICIANS
FARMINGTON, CT 06032-2573
Phone number: 860-284-5200
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