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Individual

DR. JOHN JOSEPH GEVINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1078 W MAIN ST, WATERBURY, CT 06708-2651
(203) 754-3100
Mailing address
1078 W MAIN ST, WATERBURY, CT 06708-2651
(203) 754-3100

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032217
CT
208100000X
Physical Medicine & Rehabilitation Physician
032217
CT

Other

Enumeration date
07/07/2006
Last updated
02/18/2021
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