Individual
DR. CHARLES EDWARD KOCHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 384-3394
(203) 384-3829
Mailing address
PO BOX 415126, BOSTON, MA 02241-0001
(203) 384-3975
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20886
CT
208M00000X
Hospitalist Physician
Primary
20886
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001208867
—
CT
Enumeration date
07/21/2006
Last updated
06/16/2018
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