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Individual

DR. TERRY MYRON HORBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
555 BRIDGEPORT AVE FL 2, SHELTON, CT 06484-4749
(203) 913-9193
Mailing address
69 PHILIP DR, SHELTON, CT 06484-5132
(203) 913-9193

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
033304
CT
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
CT033304
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
CT033304
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1234567789
NA
CT
Enumeration date
04/21/2009
Last updated
08/29/2013
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