Individual
JITESH VACHHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-0977
(860) 585-3313
(860) 585-3454
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-0977
(860) 585-3313
(860) 585-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042907
CT
208M00000X
Hospitalist Physician
042907
CT
Other
Enumeration date
01/16/2006
Last updated
09/06/2012
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