Individual
OOSMAN TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 EAST ST, PLAINVILLE, CT 06062-2913
(860) 747-5766
(860) 747-2028
Mailing address
184 EAST ST, PLAINVILLE, CT 06062-2913
(860) 747-6641
(860) 747-2028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64911
CT
207R00000X
Internal Medicine Physician
64911
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
08/31/2021
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