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1902962160
JOHN JOSEPH PENDERGAST
BROOKFIELD, CT
NPI
1902962160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000219)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
Mr. JOHN JOSEPH PENDERGAST PA-c
246 FEDERAL RD UNIT D-12
BROOKFIELD, CT 06804-2647
Phone number: 203-775-3290
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Mailing Address
Mr. JOHN JOSEPH PENDERGAST PA-c
246 FEDERAL RD UNIT D-12
BROOKFIELD, CT 06804-2647
Phone number: 203-775-3290
Copy
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