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1679605448
LEE J VENANCIO
NEW HAVEN, CT
NPI
1679605448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 001763)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Mr. LEE J VENANCIO P.A.
1450 CHAPEL ST DEPARTMENT OF SURGERY
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3501
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Mailing Address
Mr. LEE J VENANCIO P.A.
70 HOBSON AVE
HAMDEN, CT 06514-2515
Phone number: 203-288-3782
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