Individual
ANJALI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4749 MAIN ST, BRIDGEPORT, CT 06606
(203) 374-5013
(203) 374-2377
Mailing address
4749 MAIN STREET, BRIDGEPORT, CT 06606
(203) 374-5013
(203) 374-2377
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
029501
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001295014
—
CT
Enumeration date
09/21/2006
Last updated
03/19/2014
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