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Individual

DR. KENT E SHARIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
171 GRANDVIEW AVE, 202, WATERBURY, CT 06708-2517
(203) 596-0200
(203) 757-9611
Mailing address
171 GRANDVIEW AVE, WATERBURY, CT 06708-2517
(203) 596-0200
(203) 757-9611

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
011689
CT

Other

Enumeration date
09/11/2007
Last updated
09/11/2007
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