Most Relevant Information
Provider Data
| NPI Number: | 1003016270 |
| Provider Name: | VIJAI BRINDABAN MUTHUKRISHNAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 049730 |
Most Important Dates
| Enumeration Date: | 07/24/2007 |
| Last Updated: | 04/20/2011 |
Provider Practice Location
25 COLLINS RD
BRISTOL
CT
060103893
Practice Location Phone/Fax
| Phone: | 8602537236 |
| Fax: |
Provider Mailing Location
22 FOOTE RD
BURLINGTON
CT
060131323
Provider Mailing Phone/Fax
| Phone: | 4133014252 |
| Fax: |
Suggested EMR
Family Practice EMR