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Individual

CHARLES BARNICOAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
BRISTOL HOSPITAL, BRISTOL, CT 06011
(860) 585-3433
Mailing address
6 COTSWOLD WAY, AVON, CT 06001-2605

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001459
CT
363A00000X
Physician Assistant
PA9102379
FL

Other

Enumeration date
04/04/2006
Last updated
11/20/2007
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