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Organization
ST. MARY'S HOSPITAL
Active
Organization
ST. MARY'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACDARA TYNAN M.D (HEAD PEDIATRICIAN)
(203) 709-8679
Entity
Organization
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-8679
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
3377
CT
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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