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1619979218
WAYNE PEROSKY
HARTFORD, CT
NPI
1619979218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 001210)
Enumeration Date
2005-08-12
Last Update Date
2021-06-17
Business Address
WAYNE PEROSKY PA
114 WOODLAND ST DEPT OF SURGERY
HARTFORD, CT 06105-1208
Phone number: 860-714-4694
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Mailing Address
WAYNE PEROSKY PA
1000 ASYLUM AVE SUITE 2109A
HARTFORD, CT 06105-1770
Phone number: 860-714-6581
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