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1902366503
JAMES TAVORNWATTANA
WATERBURY, CT
NPI
1902366503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CT 069841)
Enumeration Date
2019-03-21
Last Update Date
2022-08-25
Business Address
JAMES TAVORNWATTANA MD
64 ROBBINS ST
WATERBURY, CT 06708-2613
Phone number: 718-593-1761
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Mailing Address
JAMES TAVORNWATTANA MD
64 ROBBINS ST
WATERBURY, CT 06708-2600
Phone number:
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