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Individual

MR. GARY MICHAEL DEMCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5210
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5210

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
DE

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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