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NPI Code Detail

MEDICARE: DR. SUJIT MICHAEL RAY M.D.

MEDICARE: DR. SUJIT MICHAEL RAY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician051649CT

General Provider Information

NPI Number : 1336469592
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUJIT MICHAEL RAY M.D.
Provider Business Mailing Address
First Line : 76 BATTERSON PARK RD STE 106
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 774-365-8640
Fax Number : 203-879-0834
Provider Business Practice Location Address
First Line : 76 BATTERSON PARK RD STE 106
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 774-365-8640
Fax Number : 203-879-0834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2010
Last Update Date : 06/03/2020

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