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Organization
EDWARD S. GENSICKI, D.P.M.
Active
Organization
EDWARD S. GENSICKI, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD STANLEY GENSICKI D.P.M. (OWNER)
(203) 287-0336
Entity
Organization
Contact information
Practice address
1812 DIXWELL AVE, HAMDEN, CT 06514-3105
(203) 287-0336
(203) 287-0387
Mailing address
1812 DIXWELL AVE, HAMDEN, CT 06514-3105
(203) 287-0336
(203) 287-0387
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
P00369
CT
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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