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1669623484
WEST HAVEN MEDICAL GROUP, LLC
WEST HAVEN, CT
NPI
1669623484
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Entity Type
Organization
Authorized Contact
BENEDICT L FERNANDO
Managing Partner
203-932-6481
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2008-10-10
Last Update Date
2008-10-10
Business Address
WEST HAVEN MEDICAL GROUP, LLC
687 CAMPBELL AVE
WEST HAVEN, CT 06516-3774
Phone number: 203-932-6481
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Mailing Address
WEST HAVEN MEDICAL GROUP, LLC
687 CAMPBELL AVE
WEST HAVEN, CT 06516-3774
Phone number: 203-932-6481
Copy
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