Individual
PROF. HAZAR DAHHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 MAIN ST, MANCHESTER, CT 06042-3540
(860) 643-5443
(860) 643-9399
Mailing address
201 MAIN STREET, MANCHESTER, CT 06042-3540
(860) 643-5443
(860) 643-9399
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
028665
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001286659
—
CT
01
—
028665
STATE MEDICAL LICENSE
CT
Enumeration date
03/21/2006
Last updated
12/02/2009
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