Individual
DR. LAITH KASIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 N MAIN ST, BRISTOL, CT 06010-4923
(860) 314-4400
(860) 314-4407
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
(860) 667-6875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044097
CT
208M00000X
Hospitalist Physician
044097
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014440974
—
CT
01
—
010044097CT02
BCBS
—
01
—
044097
CONNECTICARE
—
01
—
1415607
CIGNA
—
01
—
49908884
TRICARE
—
01
—
5743576
AETNA
—
Enumeration date
05/17/2006
Last updated
12/31/2014
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