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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

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