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1861240251
EDUARDO DAN ITAYA
FARMINGTON, CT
NPI
1861240251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-09
Last Update Date
2025-01-13
Business Address
EDUARDO DAN ITAYA M.D.
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-1921
Phone number: 860-679-2562
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Mailing Address
EDUARDO DAN ITAYA M.D.
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-1921
Phone number: 860-679-2147
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