Kositsawat, Jatupol

Kositsawat, Jatupol is an individual health care provider with primary practice located at 263 Farmington Ave Geriatric Dept., Farmington CT 06030-6232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kositsawat, Jatupol can be contacted via phone (860) 679-8400.

Contact Information

Primary practice address
263 Farmington Ave Geriatric Dept. Farmington CT 06030-6232
Phone: (860) 679-8400
Fax: (860) 679-1867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 049154 Connecticut

Profile Details

NPI number 1841223286
LBN Legal business name Kositsawat, Jatupol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841223286 NPPES
Connecticut MEDICAID 1841223286

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