Individual
JITENDRANATH LAKSHMIPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
114 WOODLAND ST, ER DEPT, HARTFORD, CT 06105-1208
(860) 471-4001
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
045746
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073946
—
NJ
Enumeration date
07/28/2006
Last updated
07/27/2011
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