KUNTAL P PUJARA MD
Controlled Substance Registration for Practitioner


Address: 75 Tresser Blvd Unit 577, Stamford, CT 06901-3382

KUNTAL P PUJARA MD (Credential# 1001135) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KUNTAL P PUJARA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050401. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 75 Tresser Blvd Unit 577, Stamford, CT 06901-3382. The current status is active.

Basic Information

Licensee Name KUNTAL P PUJARA MD
Credential ID 1001135
Credential Number CSP.0050401
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Tresser Blvd Unit 577
Stamford
CT 06901-3382
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-06-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-22

Other licenses

ID Credential Code Credential Type Issue Term Status
994311 1.049755 Physician/Surgeon 2011-04-21 2019-11-01 - 2020-10-31 ACTIVE

Office Location

Street Address 75 TRESSER BLVD UNIT 577
City STAMFORD
State CT
Zip Code 06901-3382

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Competitor

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City STAMFORD
Zip Code 06901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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