Individual
DR. JITENDRA BHAGWANDAS BHARUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2660 MAIN ST, SUITE 110, BRIDGEPORT, CT 06606-5369
(203) 332-4744
(203) 333-4751
Mailing address
2660 MAIN ST, SUITE 110, BRIDGEPORT, CT 06606-5369
(203) 332-4744
(203) 333-4751
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022573
CT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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