Individual
GREGORY J KUNDRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 GROVE BEACH RD NORTH, BUILDING 1, UNIT A, WESTBROOK, CT 06498
(860) 664-3553
(860) 664-3756
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4819
(860) 358-4809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018585
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185859
—
CT
Enumeration date
06/18/2006
Last updated
04/22/2008
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