Individual
MR. GUS HATZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 378-1111
Mailing address
21 PIONEER TRL, TRUMBULL, CT 06611-1220
(203) 261-3247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077
PHARMACIST
CT
Enumeration date
04/12/2007
Last updated
07/08/2007
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