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1790702462
DOMINICK C. MARICONDA
NEW HAVEN, CT
NPI
1790702462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000794)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Mr. DOMINICK C. MARICONDA PA-C
20 YORK ST CB 2045
NEW HAVEN, CT 06504-8900
Phone number: 203-688-8993
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Mailing Address
Mr. DOMINICK C. MARICONDA PA-C
11 E GATE RD
GUILFORD, CT 06437-2263
Phone number: 203-458-1634
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