Provider Information for 1154985885
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GIANPAOLO RUFO DO
Sex: Male
NPI: 1154985885
Last Updated: 2024-06-03
Certification Date: 2024-06-03
Certification Date: 2024-06-03
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1154985885 | |||||||||||||||||||||
| Enumeration Date | 2019-04-29 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | NO | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 117 ALBANY TPKE CANTON, CT 06019 United States Phone: 860-658-3444 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 117 ALBANY TPKE CANTON, CT 06019 United States Phone: 860-658-3444 | Fax: | |||||||||||||||||||||
| Secondary Practice Address(es) | 13 HIGH ST | |||||||||||||||||||||
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