Individual
JIMMY RATHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3000
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-5161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79275
CT
Other
Enumeration date
03/30/2021
Last updated
09/26/2024
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