J Kevin Shushtari

NPI #1417923160 in Norwich, Connecticut

Provider Information

NPI Number: 1417923160
Entity Type: Individual
Name: J Kevin Shushtari
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Feb 23, 2006
Last Updated: Oct 13, 2017

Practice Location

Address: 326 WASHINGTON ST
City: Norwich
State: Connecticut
ZIP Code: 06360-2740
Phone: (941) 917-4896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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