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1912903824
JOHN K MENOUTIS
FARMINGTON, CT
NPI
1912903824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 035946)
Enumeration Date
2005-06-24
Last Update Date
2022-09-29
Business Address
-- JOHN K MENOUTIS MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4477
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Mailing Address
-- JOHN K MENOUTIS MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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