Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 060334 | CT |
NPI | 1003158106 |
---|---|
Provider Name | Dr. Christine White Cumarasamy |
First Address | Hartford, CT 06106-5523 |
Second Address | Hartford, CT 06106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 29/06/2021 |