Individual
DR. AJIT J KOKKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 423-3299
(860) 423-8739
Mailing address
150 MANSFIELD AVE, WILLIMANTIC, CT 06226-2026
(860) 423-3299
(860) 423-8739
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
043541
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001435412
—
CT
Enumeration date
06/23/2006
Last updated
10/08/2015
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