Individual
SREENIVAS DUTT GUNTURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 TAMARACK AVE, SOUTH WINDSOR, CT 06074-5562
(860) 647-8282
(860) 647-8399
Mailing address
MANCHESTER PEDIATRIC ASSOCIATES, 2701 TAMARACK AVENUE, SOUTH WINDSOR, CT 06074
(860) 647-8282
(860) 647-8399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101248556
VA
208000000X
Pediatrics Physician
62234
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2008
Last updated
11/04/2024
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