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1962859892
THAO THI PHUONG WOLBERT
NEW HAVEN, CT
NPI
1962859892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CT 77173)
Enumeration Date
2016-05-20
Last Update Date
2024-08-16
Business Address
THAO THI PHUONG WOLBERT MD
20 YORK ST
NEW HAVEN, CT 06510-3202
Phone number: 814-229-8047
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Mailing Address
THAO THI PHUONG WOLBERT MD
330 CEDAR ST
NEW HAVEN, CT 06510-3218
Phone number: 203-785-5714
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