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HUZAIFA ALI JALIAWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
920 STANTON L YOUNG BLVD, WP 1130, OKLAHOMA CITY, OK 73104-5036
(405) 271-5963
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9093
(860) 972-7040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32263
OK
207RP1001X
Pulmonary Disease Physician
069502
CT

Other

Enumeration date
07/04/2016
Last updated
06/02/2022
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