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Individual

LATHA SUBRAMANIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7155
Mailing address
1 KENNEDY AVE UNIT 4006, DANBURY, CT 06810-5897
(609) 851-6709

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
282318
NY
207RC0000X
Cardiovascular Disease Physician
Primary
72463
CT
390200000X
Student in an Organized Health Care Education/Training Program
4301098711
MI

Other

Enumeration date
06/08/2011
Last updated
10/04/2022
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