ALEX MERKULOV

FARMINGTON, CT
NPI1982868550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: CT  48417)
Enumeration Date2008-07-14
Last Update Date2022-09-30
Business Address
ALEX MERKULOV MD
263 FARMINGTON AVE DIGNOSTIC RADIOLOGY
FARMINGTON, CT 06030-2803
Phone number: 860-679-2784
Mailing Address
ALEX MERKULOV MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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