Organization
BRANHAVEN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIBHA KUMAR M.D. (PRESIDENT)
(203) 481-0077
Entity
Organization
Contact information
Practice address
251 W MAIN ST, LAKEVIEW CENTER, BRANFORD, CT 06405-4047
(203) 481-0077
(203) 481-0066
Mailing address
251 W MAIN ST, LAKEVIEW CENTER, BRANFORD, CT 06405-4047
(203) 481-0077
(203) 481-0066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032669
CT
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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