Organization
CHELLIAH PANDIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELLIAH PANDIAN MD (MD)
(860) 423-8033
Entity
Organization
Contact information
Practice address
29 IVAN HILL ST, WILLIMANTIC, CT 06226-2001
(860) 423-8033
Mailing address
863 THOMPSON ST, GLASTONBURY, CT 06033-4012
(860) 633-7090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042983
CT
Other
Enumeration date
03/23/2007
Last updated
10/11/2007
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