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Organization
CONNECTICUT MIND INSTITUTE LLC
Active
Organization
CONNECTICUT MIND INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN QURESHI M.D. (OWNER)
(860) 989-8744
Entity
Organization
Contact information
Practice address
2701 TAMARACK AVE, SOUTH WINDSOR, CT 06074-5561
(860) 337-7818
(860) 337-7820
Mailing address
29 PARSONS CT, MANCHESTER, CT 06040-5653
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/20/2016
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