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1801807953
MICHAEL S TRAVISANO
ANSONIA, CT
NPI
1801807953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CT 000678)
Enumeration Date
2006-08-11
Last Update Date
2011-01-19
Business Address
MICHAEL S TRAVISANO DPM
364 E MAIN ST
ANSONIA, CT 06401-1904
Phone number: 203-734-4806
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Mailing Address
MICHAEL S TRAVISANO DPM
364 E MAIN ST
ANSONIA, CT 06401-1904
Phone number: 203-734-4806
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