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Individual

DR. JOHN JAMES GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
360 TOLLAND TPKE, MANCHESTER, CT 06042
(860) 643-2731
Mailing address
360 TOLLAND TPKE, MANCHESTER, CT 06042-1771
(860) 643-2731

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57248
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57248
CT MEDICAL LICENSE
CT
Enumeration date
03/21/2013
Last updated
07/18/2018
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