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Organization
VISWA NATHAN MD LLC
Active
Organization
VISWA NATHAN MD LLC
Active
Other names
Viswa Nathan MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISWA NATHAN M.D. (OWNER)
(203) 946-3000
Entity
Organization
Contact information
Practice address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 946-3000
(203) 946-3006
Mailing address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 946-3000
(203) 946-3006
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
022726
CT
Other
Enumeration date
09/24/2010
Last updated
06/09/2015
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