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Individual

JORGE SAFAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
43 FENWICK DR, FARMINGTON, CT 06032-1450
(786) 781-5015
Mailing address
43 FENWICK DR, FARMINGTON, CT 06032-1450
(786) 781-5015

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-758
CT

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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