| 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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