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Vijay Joshi
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NPI Number Detailed Information
Provider Information:
| Name: | Vijay Joshi |
| Gender: | M |
| Provider License Number If Given: | 36299 |
NPI Information:
| NPI: | 1174522692 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 2/28/2011 |
Provider Business Mailing Address:
| Address: | PO BOX 2828 Bristol, CT 06011 |
| Phone Number: | 8605853906 |
| Fax Number: | 8605853907 |
Provider Business Practice Location Address:
| Address: | 102 NORTH ST Bristol, CT 06010 |
| Phone Number: | 8609406300 |
| Fax Number: | 8609406745 |
Provider Taxonomy:
| Primary: | 207RE0101X |
| Secondary (if any): | |
| State: | CT |
