Individual
BIPINCHANDRA JAGJIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
385 MAIN ST SOUTH, UNION SQUARE BLDG #1 NVRA IMAGING NETWORK, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477
Mailing address
385 MAIN ST SOUTH, UNION SQUARE BLDG #1 NVRA IMAGING NETWORK, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
029720
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001297200
—
CT
Enumeration date
06/22/2005
Last updated
08/22/2014
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