Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 045357 | CT |
N | 207R00000X | Internist | 045357 | CT |
N | 111NI0900X | Internist | 045357 | CT |
N | 207RA0201X | Internist - Allergy & Immunology | 045357 | CT |
NPI | 1518189612 |
---|---|
Provider Name | Dr. Jigisha Patel Morosky |
First Address | Rocky Hill, CT 06067-2313 |
Second Address | Enfield, CT 06082-3889 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 22/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045357 | LICENSE (01) | CT |