Individual
DR. SATRAJIT BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 CEDAR ST # STREET3, NEW HAVEN, CT 06510-3206
(203) 785-2802
Mailing address
333 CEDAR ST # STREET3, NEW HAVEN, CT 06510-3206
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
066908
CT
207L00000X
Anesthesiology Physician
237017
MA
207L00000X
Anesthesiology Physician
249887
MA
207R00000X
Internal Medicine Physician
P21895
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093310A
—
MA
01
—
AA318489
HARVARD PILGRIM HEALTH CARE
—
Enumeration date
08/15/2007
Last updated
10/26/2020
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