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1780917476
DORIAN KENNETH MADRID
NEW BRITAIN, CT
NPI
1780917476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 002161)
Enumeration Date
2009-09-12
Last Update Date
2017-04-21
Business Address
-- DORIAN KENNETH MADRID PA-C
100 GRAND ST DEPT OF SURGERY
NEW BRITAIN, CT 06052-2016
Phone number: 860-224-5513
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Mailing Address
-- DORIAN KENNETH MADRID PA-C
100 GRAND ST DEPT OF SURGERY
NEW BRITAIN, CT 06052-2016
Phone number: 860-224-5513
Copy
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