PHILIP M ROACH

NEW BRITAIN, CT
NPI1992005599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  002469)
Enumeration Date2010-10-28
Last Update Date2015-10-05
Business Address
-- PHILIP M ROACH
100 GRAND ST
NEW BRITAIN, CT 06052-2016
Phone number: 860-224-5011
Mailing Address
-- PHILIP M ROACH
PO BOX 1090
WINDSOR, CT 06095-6190
Phone number: 203-709-3117
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