RAVIN DEFONSEKA

STAMFORD, CT
NPI1205413085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-26
Last Update Date2021-03-26
Business Address
RAVIN DEFONSEKA MD
1 HOSPITAL PLZ
STAMFORD, CT 06902-3602
Phone number: 203-276-7147
Mailing Address
RAVIN DEFONSEKA MD
1 HOSPITAL PLZ
STAMFORD, CT 06902-3602
Phone number: 203-276-7147