Individual
DR. SUTIP KUNAJUKR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
496 OCEAN AVE, NEW LONDON, CT 06320-4533
(860) 447-8932
(860) 437-1729
Mailing address
496 OCEAN AVE, NEW LONDON, CT 06320-4533
(860) 447-8932
(860) 437-1729
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030391
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303916
—
CT
Enumeration date
09/06/2008
Last updated
09/06/2008
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