Individual
MERIEM MOKHTECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1075 CHASE PKWY, WATERBURY, CT 06708-2948
(203) 575-5555
Mailing address
25 NEWELL RD STE C11, BRISTOL, CT 06010-5140
(860) 582-9800
(203) 575-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
275686
MA
2085R0001X
Radiation Oncology Physician
Primary
73798
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2018
Last updated
02/13/2026
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