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Thomas Terenzi

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NPI Number Detailed Information

Provider Information:

Name: Thomas Terenzi
Gender: M
Provider License Number If Given: 41490

NPI Information:

NPI: 1922001940
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 2/27/2009

Provider Business Mailing Address:

Address: 1000 ASYLUM AVE STE 2109A
Hartford, CT 06105
Phone Number: 8607146581
Fax Number: 8607148311

Provider Business Practice Location Address:

Address: 1000 ASYLUM AVE STE 2112
Hartford, CT 06105
Phone Number: 8607144749
Fax Number: 8607148439

Provider Taxonomy:

Primary: 207RR0500X
Secondary (if any):
State: CT

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