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Individual

ARTEM DYATLOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2660 MAIN ST STE 110, BRIDGEPORT, CT 06606-5301
(203) 332-4744
Mailing address
2660 MAIN ST STE 110, BRIDGEPORT, CT 06606-5301
(203) 332-4744

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
64955
CT
208600000X
Surgery Physician
MD462842
PA

Other

Enumeration date
12/11/2013
Last updated
10/18/2021
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