Individual
MR. MUBARIK N MIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 BROAD ST, MERIDEN, CT 06450-5846
(203) 235-6527
Mailing address
101 ARCH ST # 1, MERIDEN, CT 06450-4317
(203) 235-6527
(203) 440-4438
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
1226
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1226
TAXI
CT
05
—
1226
—
CT
Enumeration date
08/29/2018
Last updated
08/29/2018
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