Organization
WINDHAM GI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJIT KOKKAT M.D. (PHYSICIAN)
(860) 423-3299
Entity
Organization
Contact information
Practice address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 423-3299
(860) 423-8739
Mailing address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 423-3299
(860) 423-8739
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
43541
CT
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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