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1962845917
PAVEL TESLYA
BRIDGEPORT, CT
NPI
1962845917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208M00000X Hospitalist
(Licence: CT 55615)
Enumeration Date
2013-04-09
Last Update Date
2016-09-02
Business Address
-- PAVEL TESLYA MD
2800 MAIN STREET
BRIDGEPORT, CT 06606-4201
Phone number: 203-576-5764
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Mailing Address
-- PAVEL TESLYA MD
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 203-863-3911
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