J.t. Bristol, M.d., Llc | |
680 S Main St Suite 102 Cheshire CT 06410-3181 | |
(860) 818-6668 | |
Not Available |
Full Name | J.t. Bristol, M.d., Llc |
---|---|
Speciality | Internal Medicine |
Location | 680 S Main St, Cheshire, Connecticut |
Authorized Official Name and Position | Jyoji T Bristol (OWNER/SOLE PROPRIETOR) |
Authorized Official Contact | 8608186668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J.t. Bristol, M.d., Llc 680 S Main St Suite 102 Cheshire CT 06410-3181 Ph: (860) 818-6668 | J.t. Bristol, M.d., Llc 680 S Main St Suite 102 Cheshire CT 06410-3181 Ph: (860) 818-6668 |
NPI Number | 1245479948 |
---|---|
Provider Enumeration Date | 02/19/2009 |
Last Update Date | 02/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245479948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 040914 (Connecticut) | Primary |
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