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Organization

DONALD S. BIALOS, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD S. BIALOS M.D. (PRESIDENT)
(203) 245-7721
Entity
Organization

Contact information

Practice address
4 SAMSON ROCK DR, MADISON, CT 06443-3005
(203) 245-7721
Mailing address
4 MEIGS AV, MADISON, CT 06443-1920
(203) 245-7721

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
013127
CT

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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