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Individual

MR. GAURAV KAPUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 425-5900

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
049724
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
49724
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2403509
OH
Enumeration date
06/06/2006
Last updated
12/06/2018
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