Individual
DR. DISHA DUDEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 816-3865
Mailing address
712 FARMINGTON AVE, APT NO. 201, WEST HARTFORD, CT 06119-1786
(860) 816-3865
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ZZ
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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