Individual
TARIQ MEHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 LOLLER RD, HAMDEN, CT 06514-4315
(203) 850-3620
Mailing address
7 LOLLER RD, HAMDEN, CT 06514-4315
(203) 850-3620
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
119124632
CT
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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