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Individual

MICHAEL STEPHEN AJEMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-6314
(203) 709-6089
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-8873
(203) 709-8689

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
038004
CT
2086S0102X
Surgical Critical Care Physician
038004
CT

Other

Enumeration date
06/27/2006
Last updated
09/11/2007
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