KHOSRO POURKAVOOS

AVON, CT
NPI1710946892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  039709)
Enumeration Date2006-03-18
Last Update Date2010-04-08
Business Address
Dr. KHOSRO POURKAVOOS
35 NOD RD SUITE 205
AVON, CT 06001-3826
Phone number: 860-676-0090
Mailing Address
Dr. KHOSRO POURKAVOOS
18 TERRACE DR
AVON, CT 06001-2314
Phone number: 860-676-0090
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