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Individual

DR. EDWARD M MOLLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
134 ROUND HILL RD, FAIRFIELD, CT 06824
(203) 255-0695
Mailing address
134 ROUND HILL RD, FAIRFIELD, CT 06824
(203) 255-0695
(203) 255-0629

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A13136
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001131366
CT
01
004184
HEALTHNET
CT
01
010013136CT01
BCBS
CT
Enumeration date
08/11/2006
Last updated
05/31/2013
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