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1932125036
DANIEL CERVONKA
NEW HAVEN, CT
NPI
1932125036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 000159)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Mr. DANIEL CERVONKA PA-C, MPAS, CAS
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-9703
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Mailing Address
Mr. DANIEL CERVONKA PA-C, MPAS, CAS
39 A P GATES RD
EAST HADDAM, CT 06423-1523
Phone number: 860-873-3512
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