Individual
SHRUSHTI GOSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 610-6353
(860) 528-2353
Mailing address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 610-6353
(860) 528-2353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11710
CT
122300000X
Dentist
DN1857432
MA
122300000X
Dentist
DS040552
PA
Other
Enumeration date
05/21/2015
Last updated
04/12/2017
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