Individual
DR. KULSOOM HUSSAIN MAUDOODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HAZARD AVE, SUITE 101, ENFIELD, CT 06082-5446
(860) 696-2380
Mailing address
100 HAZARD AVE, SUITE 101, ENFIELD, CT 06082-5446
(860) 696-2380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054631
CT
Other
Enumeration date
06/26/2012
Last updated
12/22/2015
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