Most Relevant Information
Provider Data
NPI Number: | 1003497959 |
Provider Name: | KERRY SHASTRI SINGH |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/20/2021 |
Last Updated: | 04/20/2021 |
Provider Practice Location
1000 ASYLUM AVE RM 1004
HARTFORD
CT
061051701
Practice Location Phone/Fax
Phone: | 8607144532 |
Fax: |
Provider Mailing Location
263 FARMINGTON AVE
FARMINGTON
CT
060301921
Provider Mailing Phone/Fax
Phone: | 8606792147 |
Fax: | 8606794624 |