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Individual

ALOK BHARGAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
134 GRANDVIEW AVE, SUITE 208, WATERBURY, CT 06708-2507
(203) 755-3279
(203) 755-3057
Mailing address
134 GRANDVIEW AVE, SUITE 208, WATERBURY, CT 06708-2507
(203) 755-3279
(203) 755-3057

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
030847
CT
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
030847
CT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
030847
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001308479
CT
01
010030847CT01
BLUE CROSS & BLUE SHIELD
CT
01
030847
CONNECTICARE
CT
Enumeration date
04/11/2006
Last updated
09/30/2013
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