Individual
PRAVEEN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
114 WOODLAND ST, DEPARTMENT OF MEDICINE, HARTFORD, CT 06105-1208
(860) 714-7446
Mailing address
114 WOODLAND ST, DEPARTMENT OF MEDICINE, HARTFORD, CT 06105-1208
(860) 714-7446
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
53547
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2011
Last updated
09/29/2014
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