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1689834012
CHARLES HAVILAND MIZE
BRIDGEPORT, CT
NPI
1689834012
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Former Name
CHARLES HAVILAND MOORE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MD D0072287)
Enumeration Date
2008-06-10
Last Update Date
2015-01-06
Business Address
Dr. CHARLES HAVILAND MIZE M.D.
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3256
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Mailing Address
Dr. CHARLES HAVILAND MIZE M.D.
27 HALLS POINT RD
BRANFORD, CT 06405-5704
Phone number:
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