Individual
JAYANT BHAGAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 HAZARD AVE, BLD # 6, ENFIELD, CT 06082-4585
(860) 749-0221
(860) 749-1602
Mailing address
139 HAZARD AVE, BLD # 6, ENFIELD, CT 06082-4597
(860) 749-0221
(860) 749-1602
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
028790
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1287904
—
CT
Enumeration date
08/17/2005
Last updated
07/08/2007
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