JATUPOL KOSITSAWAT

FARMINGTON, CT
NPI1841223286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CT  049154)
Enumeration Date2006-07-09
Last Update Date2022-09-29
Business Address
-- JATUPOL KOSITSAWAT M.D.
263 FARMINGTON AVE GERIATRIC DEPT.
FARMINGTON, CT 06030-6232
Phone number: 860-679-8400
Mailing Address
-- JATUPOL KOSITSAWAT M.D.
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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