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Individual

DR. JULIO TEIXEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7131
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6077
(203) 739-7131

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
207284
NY
208600000X
Surgery Physician
Primary
73025
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01762252
NY
Enumeration date
10/17/2005
Last updated
03/17/2022
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