Individual
SUPRIT PARIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
TYNAN CIRCLE, MERRITT HALL, CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-6509
(860) 262-5055
Mailing address
P.O. BOX 351, SILVER STREET, CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-6509
(860) 262-5055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
050497
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2008
Last updated
03/31/2016
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