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Organization

M EHSAN QADIR MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JAN TYLINSKI (OFFICE MANAGER)
(203) 732-1677
Entity
Organization

Contact information

Practice address
22 WESTFIELD AVE, SUITE 1, ANSONIA, CT 06401-1158
(203) 732-1677
(203) 732-1680
Mailing address
22 WESTFIELD AVE, SUITE 1, ANSONIA, CT 06401-1158
(203) 732-1677
(203) 732-1680

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025164
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001251644
CT
Enumeration date
10/15/2008
Last updated
10/15/2008
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