Individual
MARIAM ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 LONG RIDGE RD, STAMFORD, CT 06902-1638
(475) 619-6035
Mailing address
260 LONG RIDGE RD, STAMFORD, CT 06902-1638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
303761
NY
207Q00000X
Family Medicine Physician
Primary
79980
CT
Other
Enumeration date
03/25/2016
Last updated
04/18/2025
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