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1881449056
ANASTASIOS XENITIDIS
BRIDGEPORT, CT
NPI
1881449056
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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
2024-04-22
Last Update Date
2024-07-25
Business Address
ANASTASIOS XENITIDIS
267 GRANT STREET, MED ED PODIUM 4 C/O AMANDA KLAGER GME ADMINISTRATOR
BRIDGEPORT, CT 06610-0120
Phone number: 203-384-4442
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Mailing Address
ANASTASIOS XENITIDIS
267 GRANT STREET, MED ED PODIUM 4 C/O AMANDA KLAGER GME ADMINISTRATOR
BRIDGEPORT, CT 06610-0120
Phone number: 203-384-4442
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