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Individual

ASGHAR RASTEGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
789 HOWARD AVE, DANA BUILDING, 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4184
(203) 785-7065
Mailing address
789 HOWARD AVE, DANA BUILDING, 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 785-4184
(203) 785-7065

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
026988
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001269887
CT
Enumeration date
12/05/2005
Last updated
03/24/2011
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