Organization
VAZRICK MANSOURIAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAZRICK MANSOURIAN M.D. (PRESIDENT)
(203) 776-5819
Entity
Organization
Contact information
Practice address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 776-5819
(203) 772-7906
Mailing address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 776-5819
(203) 772-7906
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
015589
CT
Other
Enumeration date
07/08/2009
Last updated
07/10/2012
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