Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 68200 | CT |
NPI | 1336502079 |
---|---|
Provider Name | Jonathan Ramin |
First Address | Farmington, CT 06032-2565 |
Second Address | Hartford, CT 06106-5521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 23/06/2021 |