Kanagaratnam Jegathesan MD PC
Internal Medicine, Pulmonary Disease in Waterbury, CT. Organization (NPI-2).
NPI number1598869596
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1598869596
- Entity type
- Organization (NPI-2)
- Legal business name
- Kanagaratnam Jegathesan MD PC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
Practice location
2271 East Main StWaterbury, CT 06705
Phone 203-753-4131 · Fax 203-753-6887
Mailing address
2271 East Main StWaterbury, CT 06705
Phone 203-753-4131 · Fax 203-753-6887
Authorized official
Kanthimajhi Jegathesan
Secretary Of The Corporation
2037534131
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