Individual
DR. JANE P SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 SENECA RD, BLOOMFIELD, CT 06002
(860) 243-2997
(860) 242-0819
Mailing address
24 SENECA RD, BLOOMFIELD, CT 06002
(860) 243-2997
(860) 242-0819
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016051
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010016051CT01
BS
—
05
—
1160514
—
CT
01
—
OP0274
HEALTHNET
—
Enumeration date
07/26/2006
Last updated
07/08/2007
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