Individual
DR. KISHORCHANDRA R GONSAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, BULDING # 36, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3478
Mailing address
44 COBBLESTONE DR, HAMDEN, CT 06518-1749
(203) 248-7347
(203) 248-7347
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036772
CT
2084P0800X
Psychiatry Physician
036772
CT
2084P0802X
Addiction Psychiatry Physician
Primary
036772
CT
Other
Enumeration date
10/10/2006
Last updated
07/03/2013
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