Individual
DR. RAHUL MUTNEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 856-0316
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1925
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
56850
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2012
Last updated
05/08/2024
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