Organization
GENESIS MEDICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY AGGARWAL MD (MD/OWNER)
(203) 865-3880
Entity
Organization
Contact information
Practice address
247 BROAD STREET, MILFORD, CT 06460-3267
(203) 693-2230
(203) 693-2232
Mailing address
1427 CHAPEL ST, NEW HAVEN, CT 06511-4403
(203) 865-3880
(203) 624-5609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036883
CT
Other
Enumeration date
08/30/2017
Last updated
11/15/2017
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