SHINE KOCHUKUNJU RAJU

FARMINGTON, CT
NPI1326326968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-08-01
Last Update Date2014-04-01
Business Address
Dr. SHINE KOCHUKUNJU RAJU M.B.B.S.
UCONN HEALTH CTR 263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 516-943-2400
Mailing Address
Dr. SHINE KOCHUKUNJU RAJU M.B.B.S.
83 LEAFWOOD LN APT 220
GROTON, CT 06340-6250
Phone number: 516-943-2400