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Individual

DR. EZEKIEL DAVID RAWANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
363 ZION ST, HARTFORD, CT 06106-3034
(860) 794-6883
Mailing address
P.O BOX 180639, 122-01 JAMAICA AVENUE, RICHMOND HILL NORTH, NY 11418
(860) 794-6883

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
259835-1
NY

Other

Enumeration date
08/04/2011
Last updated
01/02/2014
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