Provider Information for 1275011512
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Mr. CONNOR DAVID LINEHAN MS
Sex: Male
NPI: 1275011512
Last Updated: 2018-07-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1275011512 | ||||||||
| Enumeration Date | 2018-07-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 263 FARMINGTON AVE FL OPP4 FARMINGTON, CT 06030-0002 United States Phone: 860-679-1435 | Fax: | ||||||||
| Primary Practice Address | 263 FARMINGTON AVE FL OPP4 FARMINGTON, CT 06030-0002 United States Phone: 860-679-1435 | Fax: | ||||||||
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