Individual
DR. JAYANTKUMAR CHHOTABHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 MANSFIELD AVE, SUITE-200, WILLIMANTIC, CT 06226-2033
(860) 456-2261
(860) 450-1357
Mailing address
132 MANSFIELD AVE, SUITE - 200, WILLIMANTIC, CT 06226-2033
(860) 456-2261
(860) 450-1357
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
020512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001205129
—
CT
Enumeration date
07/10/2006
Last updated
07/08/2010
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