Organization
J.T. BRISTOL, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOJI T BRISTOL MD (OWNER/SOLE PROPRIETOR)
(860) 818-6668
Entity
Organization
Contact information
Practice address
680 S MAIN ST, SUITE 102, CHESHIRE, CT 06410-3181
(860) 818-6668
Mailing address
680 S MAIN ST, SUITE 102, CHESHIRE, CT 06410-3181
(860) 818-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040914
CT
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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