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Individual

DR. JAGDISH BATHIJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31 STRAWBERRY HILL AVE STE 106, STAMFORD, CT 06902-2681
(203) 536-7152
(203) 286-1872
Mailing address
50 GLENBROOK RD APT 9C, STAMFORD, CT 06902-2951
(203) 536-7152
(203) 286-1872

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
023767
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23767
CT MEDICAL PHYSICIANLICENSE
CT
01
CSP.0030715
CT STATE CONTROL SUBSTANCES
CT
Enumeration date
01/25/2007
Last updated
03/07/2023
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