Individual
DR. RAVIN DEFONSEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7147
Mailing address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0073481
CO
Other
Enumeration date
03/26/2021
Last updated
08/06/2024
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