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Individual

KEVIN RAJESH JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
95 LOCUST AVE, DANBURY, CT 06810-6148
(203) 739-7029
(203) 739-8455
Mailing address
95 LOCUST AVE, DANBURY, CT 06810-6148
(203) 739-8455
(203) 739-8455

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
049686
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790083186
CT
Enumeration date
03/09/2011
Last updated
09/02/2015
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