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Individual

DR. GRIGORIY VITALYEVICH KLIMOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 TEMPLE ST STE 7B, NEW HAVEN, CT 06510
(203) 785-6060
Mailing address
40 TEMPLE ST STE 7B, NEW HAVEN, CT 06510-2715
(864) 415-8136

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60191
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60191
CT MEDICAL LICENSE
CT
Enumeration date
05/13/2013
Last updated
07/06/2018
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