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NISARG THAKKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MB,BS

Contact information

Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 688-1734
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3456
(607) 547-6612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74926
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/26/2020
Last updated
06/19/2023
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