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NPI 1316191372

NPI 1316191372 : ORLITO TRIAS M.D., P.C. : NEW MILFORD, CT

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General NPI Number Information
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    NPI Number           |    1316191372
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORLITO TRIAS M.D., P.C. 
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Dates
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    Enumeration Date     |    11/04/2008
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    Last Update Date     |    11/25/2015
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Provider Practice Location Address
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    Address Line         |    9 ASPETUCK AVE 
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    City                 |    NEW MILFORD
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    State                |    CT
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    Zip                  |    06776-2803
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    Country              |    US
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    Telephone            |    860-354-9314
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    Fax                  |    860-350-6676
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Provider Business Mailing Address
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    Address Line         |    9 ASPETUCK AVE 
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    City                 |    NEW MILFORD
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    State                |    CT
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    Zip                  |    06776-2803
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    Country              |    US
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    Telephone            |    860-354-9314
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    Fax                  |    860-350-6676
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ORLITO A TRIAS 
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    Credential           |    M.D.
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    Telephone            |    860-354-9314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    020677
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    License Number State |    CT
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