Individual
SUSHANT CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS MD
Contact information
Practice address
56 FRANKLIN ST STE 1, WATERBURY, CT 06706-1281
(203) 709-6000
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L2231647
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CSP.0073460
CT
Other
Enumeration date
08/09/2012
Last updated
01/26/2023
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