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1851350011
MARY T PRONOVOST
BRIDGEPORT, CT
NPI
1851350011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CT 037703)
Enumeration Date
2006-03-17
Last Update Date
2016-09-16
Business Address
-- MARY T PRONOVOST M.D.
226 MILL HILL AVE 3RD FLOOR
BRIDGEPORT, CT 06610-2811
Phone number: 203-384-3873
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Mailing Address
-- MARY T PRONOVOST M.D.
5520 PARK AVE SUITE 101
TRUMBULL, CT 06611-3463
Phone number: 203-254-2381
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