Individual
AVTANDIL KOCHIASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
GENGRAS CLINIC AT ST FRANCIS HOSPITAL, 1000 ASYLUM ANENUE, HARTFORD, CT 06105
(860) 714-4532
(860) 714-8275
Mailing address
GENGRAS CLINIC AT ST FRANCIS HOSPITAL, 1000 ASYLUM ANENUE, HARTFORD, CT 06105
(860) 714-4532
(860) 714-8275
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
01/26/2023
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