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1619407780
XI TENG
WATERBURY, CT
NPI
1619407780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 64993)
Enumeration Date
2017-06-12
Last Update Date
2020-07-13
Business Address
XI TENG
51 N ELM ST
WATERBURY, CT 06702-1545
Phone number: 203-574-4000
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Mailing Address
XI TENG
51 N ELM ST
WATERBURY, CT 06702-1545
Phone number:
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