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Organization

SHANTHI DEVARAJ, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANTHI DEVARAJ MD (MEMBER)
(203) 323-8700
Entity
Organization

Contact information

Practice address
1400 BEDFORD ST, STAMFORD, CT 06905-5200
(203) 323-8700
(203) 323-1785
Mailing address
1400 BEDFORD ST, STAMFORD, CT 06905-5200
(203) 323-8700
(203) 323-1785

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036375
CT

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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