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1942291331
JEAN L BOLOGNIA
NEW HAVEN, CT
NPI
1942291331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CT 025790)
Enumeration Date
2005-11-03
Last Update Date
2008-05-22
Business Address
-- JEAN L BOLOGNIA MD
15 YORK ST
NEW HAVEN, CT 06510-3221
Phone number: 203-785-4632
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Mailing Address
-- JEAN L BOLOGNIA MD
PO BOX 9805 300 GEORGE ST, 6TH FLOOR
NEW HAVEN, CT 06536-0805
Phone number: 203-785-7998
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