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Individual

DR. VAZRICK MANSOURIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 776-5819
(203) 772-7906
Mailing address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 776-5819
(203) 772-7906

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
015589
CT

Other

Enumeration date
06/04/2006
Last updated
07/10/2012
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