Individual
SINA RAISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 STRAITS TPKE, MIDDLEBURY, CT 06762-2843
(203) 758-1800
(203) 758-1804
Mailing address
850 STRAITS TPKE, MIDDLEBURY, CT 06762-2843
(203) 758-1800
(203) 758-1804
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
03901
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001390111
—
CT
Enumeration date
07/26/2005
Last updated
10/06/2010
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