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Individual

JEHANGIR DURRANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
99 ASH ST, EAST HARTFORD, CT 06108-3226
(860) 282-3894
(860) 282-8582
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
017172
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001171727
CT
Enumeration date
06/22/2005
Last updated
07/16/2012
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