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1770505570
CHAVANNES THOMAS
BRONX, NY
NPI
1770505570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 143387)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- CHAVANNES THOMAS M.D.
75 W 190TH ST
BRONX, NY 10468-5228
Phone number: 718-367-4488
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Mailing Address
-- CHAVANNES THOMAS M.D.
1028 FORDHAM LN
WOODMERE, NY 11598-1014
Phone number: 718-367-4488
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