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Individual

DR. ATTILIO VINCENT GRANATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MBA, FACP

Contact information

Practice address
130 WILDROSE RD, ORANGE, CT 06477-1837
(203) 530-1451
Mailing address
130 WILDROSE RD, ORANGE, CT 06477-1837
(203) 530-1451

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022309
CT

Other

Enumeration date
05/15/2007
Last updated
07/09/2007
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