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Individual

KRISTOPHER ILIJA VLAHOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 706-8179
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 706-8179

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/10/2014
Last updated
08/10/2014
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