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Individual

DR. SUBASREE SRINIVASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2890 MAIN ST, STRATFORD, CT 06614-4980
(203) 383-4466
(203) 383-4466
Mailing address
2890 MAIN ST, STRATFORD, CT 06614-4980
(203) 383-4466
(203) 383-4466

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
033279
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010033279CT04
BLUE CROSS
CT
01
061608343
UNITED HEALTHCARE
CT
01
3717982
AETNA
CT
01
706315
CT CARE
CT
Enumeration date
02/01/2006
Last updated
02/15/2011
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