Individual
DR. MARYAM TAHVILDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TEMPLE ST, NEW HAVEN, CT 06510-2715
(617) 573-4443
Mailing address
40 TEMPLE ST, NEW HAVEN, CT 06510-2715
(617) 573-4443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301505041
MI
207W00000X
Ophthalmology Physician
Primary
76508
CT
Other
Enumeration date
06/15/2016
Last updated
02/14/2024
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