Individual
GAURANG SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4450
(860) 679-1992
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4450
(860) 679-1992
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
287
CT
242T00000X
Perfusionist
Primary
72
CT
Other
Enumeration date
01/18/2014
Last updated
01/18/2014
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