Individual
AIZED IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
85 SEYMOUR ST, SUITE 901, HARTFORD, CT 06106
(860) 244-0148
(860) 493-1852
Mailing address
55 WATER ST, FL 12, NEW YORK, NY 10041-0004
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050464
CT
207R00000X
Internal Medicine Physician
Primary
278990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050464
LICENSE
CT
Enumeration date
08/27/2007
Last updated
08/10/2018
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