Individual
JOSEPH ANTHONY HAVLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 DEKOVEN DR, MIDDLETOWN, CT 06457-3460
(860) 638-4508
Mailing address
245 DEKOVEN DR, MIDDLETOWN, CT 06457-3460
(860) 638-4508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011673
CT
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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