Organization
NORWICH CARDIAC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI CHAKRABARTI MD (PHYSICIAN OWNER)
(860) 518-0126
Entity
Organization
Contact information
Practice address
130 NEW LONDON TPKE, NORWICH, CT 06360-2624
(860) 518-0126
Mailing address
130 NEW LONDON TPKE, NORWICH, CT 06360-2624
(860) 518-0126
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF8408
RAIL ROAD MEDICARE
CT
Enumeration date
02/15/2007
Last updated
04/20/2008
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