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Individual

DR. JONATHAN T KIRSCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 688-1734
Mailing address
9330 STATE ROAD 54, NEW PORT RICHEY, FL 34655-1808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78761
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2021
Last updated
09/09/2024
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