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Individual

DR. PRAKASH V HUDED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
78 MARLBOROUGH ST, PORTLAND, CT 06480-4801
(860) 342-4800
(860) 342-3298
Mailing address
78 MARLBOROUGH ST, PORTLAND, CT 06480-4801
(860) 342-4800
(860) 342-3298

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25374
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1253749
CT
Enumeration date
12/07/2005
Last updated
01/21/2015
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