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1720069024
DEMETRIOS THOMAS BRADDOCK
NEW HAVEN, CT
NPI
1720069024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: CT 042128)
Enumeration Date
2005-11-14
Last Update Date
2008-01-03
Business Address
Mr. DEMETRIOS THOMAS BRADDOCK MD
800 HOWARD AVE YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519-1369
Phone number: 203-785-2140
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Mailing Address
Mr. DEMETRIOS THOMAS BRADDOCK MD
PO BOX 9805 300 GEORGE ST 6TH FLOOR
NEW HAVEN, CT 06536-0805
Phone number: 203-785-7998
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