Individual
USAMA BIN NASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
279313
MA
207RC0000X
Cardiovascular Disease Physician
Primary
71049
CT
390200000X
Student in an Organized Health Care Education/Training Program
279313
MA
Other
Enumeration date
06/27/2016
Last updated
06/21/2022
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