Individual
MR. JAYADITYA DEVPAL PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
20 YORK STREET, YNHH, TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
Mailing address
20 YORK STREET, YNHH, TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
08/11/2023
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