Individual
MR. GARY IRWIN BYKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 HARTFORD TURNPIKE, SUITE 303, VERNON, CT 06066
(860) 871-8543
Mailing address
281 HARTFORD TPKE, SUITE 303, VERNON, CT 06066
(860) 871-8543
(860) 896-1518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25799
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001257997
—
CT
01
—
010025799CT01
BCBS
CT
01
—
025799
CTC
CT
Enumeration date
10/12/2006
Last updated
08/24/2010
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