Individual
DR. JOSEPH GNANARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M..
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7325
(203) 732-1539
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7325
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046075
CT
207RC0000X
Cardiovascular Disease Physician
Primary
46075
CT
Other
Enumeration date
12/27/2007
Last updated
11/29/2021
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