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Organization
KANAGARATNAM JEGATHESAN MD PC
Active
Organization
KANAGARATNAM JEGATHESAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANTHIMAJHI JEGATHESAN MD (SECRETARY OF THE CORPORATION)
(203) 753-4131
Entity
Organization
Contact information
Practice address
2271 EAST MAIN ST, WATERBURY, CT 06705
(203) 753-4131
(203) 753-6887
Mailing address
2271 EAST MAIN ST, WATERBURY, CT 06705
(203) 753-4131
(203) 753-6887
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50KJEGATHCT01
BCBS
CT
Enumeration date
09/11/2006
Last updated
08/22/2020
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