Individual
DR. ANIL SHANKAR MAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-9961
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-9961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
061463
CT
207RP1001X
Pulmonary Disease Physician
286755
MA
207RP1001X
Pulmonary Disease Physician
Primary
61463
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
03/21/2023
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