Individual
MARYAM OSHOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 RIDGE RD, NORTH HAVEN, CT 06473-2046
(203) 809-3663
Mailing address
1660 RIDGE RD, NORTH HAVEN, CT 06473-2046
(203) 809-3663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8658
CT
Other
Enumeration date
01/11/2020
Last updated
05/27/2021
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