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Individual

JOSELITO ENDAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 887-0010
(860) 887-0178
Mailing address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 887-0010
(860) 887-0178

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043215
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001432153
CT
05
1073600961
CT
Enumeration date
10/10/2006
Last updated
12/15/2021
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