Organization
JAMSHID A MARVASTI, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMSHID A MARVASTI M.D. (OWNER)
(860) 643-1166
Entity
Organization
Contact information
Practice address
71 HAYNES ST, MMH, MANCHESTER, CT 06040-4131
(860) 643-1166
Mailing address
130 PORTER ST, MANCHESTER, CT 06040-5438
(860) 643-1166
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19515
CT
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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