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1962447409
PETR PROTIVA
WEST HAVEN, CT
NPI
1962447409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: CT 044277)
Enumeration Date
2006-06-18
Last Update Date
2013-06-12
Business Address
PETR PROTIVA MD
950 CAMPBELL AVE DEPARTMENT OF MEDICINE, BLD 1, 5TH FLOOR
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
PETR PROTIVA MD
950 CAMPBELL AVE DEPARTMENT OF MEDICINE, BLD 1, 5TH FLOOR
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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