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Organization

QAIYUM MUJTABA, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. QAIYUM MUJTABA M. D. (PRESIDENT)
(203) 931-7710
Entity
Organization

Contact information

Practice address
750 SAVIN AVE, WEST HAVEN, CT 06516-4314
(203) 931-7710
Mailing address
750 SAVIN AVE, WEST HAVEN, CT 06516-4314
(203) 931-7710

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16546
CT

Other

Enumeration date
07/12/2007
Last updated
07/14/2007
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