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1649454851
TREVOR BANACK
NEW HAVEN, CT
NPI
1649454851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CT 1.050033)
Enumeration Date
2007-12-24
Last Update Date
2011-07-11
Business Address
Dr. TREVOR BANACK M.D.
333 CEDAR ST TMP 3
NEW HAVEN, CT 06510-3206
Phone number: 203-785-2802
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Mailing Address
Dr. TREVOR BANACK M.D.
333 CEDAR ST TMP 3 P.O. BOX 208051
NEW HAVEN, CT 06510-3206
Phone number: 203-785-2802
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