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Gian Carlo Queiroz Macedo Castor
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1649766841

Gian Carlo Queiroz Macedo Castor is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Gian Carlo Queiroz Macedo Castor practices in Farmington, CT. The NPI Number for Gian Carlo Queiroz Macedo Castor is 1649766841 and holds a License No. (Connecticut).

The current practice location address for Gian Carlo Queiroz Macedo Castor is 263 Farmington Ave # Lm068, Farmington, CT and can be reached out via phone at 860-679-6296.

Location: 263 Farmington Ave # Lm068, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649766841
Provider Name
Gian Carlo Queiroz Macedo Castor
Credential
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave # Lm068, Farmington, CT, 06030-1921
Phone Number
860-679-6296
Fax Number
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave # Lm068
City
Farmington
State
Connecticut
Zip
06030-1921
Phone Number
860-679-6296
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave # Lm068
City
Farmington
State
Connecticut
Zip
06030-1921
Phone Number
860-679-6296
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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