Individual
SHAZI ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 MAIN ST, BRIDGEPORT, CT 06606-1300
(860) 380-5150
Mailing address
79 GOLDEN HILL ST, TRUMBULL, CT 06611-5010
(203) 339-1635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6424
CT
Other
Enumeration date
12/29/2015
Last updated
11/27/2024
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