Organization
VISWA NATHAN MD LLC
Active
Other names
Viswa Nathan MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISWA NATHAN M.D. (OWNER)
(203) 946-3000
Entity
Organization
Contact information
Practice address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 946-3000
(203) 946-3006
Mailing address
136 SHERMAN AVE, SUITE 308, NEW HAVEN, CT 06511-5238
(203) 946-3000
(203) 946-3006
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
022726
CT
Other
Enumeration date
09/24/2010
Last updated
06/09/2015
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