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Individual

DORIAN KENNETH MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 GRAND ST, DEPT OF SURGERY, NEW BRITAIN, CT 06052-2016
(860) 224-5513
Mailing address
100 GRAND ST, DEPT OF SURGERY, NEW BRITAIN, CT 06052-2016
(860) 224-5513

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002161
CT

Other

Enumeration date
09/12/2009
Last updated
04/21/2017
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