Individual
DR. GITTI JANWATANAGOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4129
Mailing address
10538 TATE DR, SAINT LOUIS, MO 63136-3342
(314) 620-4504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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