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Individual

DR. KHOSRO POURKAVOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
35 NOD RD, SUITE 205, AVON, CT 06001-3826
(860) 676-0090
Mailing address
18 TERRACE DR, AVON, CT 06001-2314
(860) 676-0090

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039709
CT

Other

Enumeration date
03/18/2006
Last updated
04/08/2010
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