Organization
COMPREHENSIVE PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASSAR F SHAHEEN MD (OWNER)
(401) 723-5533
Entity
Organization
Contact information
Practice address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 699-8880
(203) 271-1841
Mailing address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 699-8880
(203) 271-1841
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
42472
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42472
CT LIC
CT
Enumeration date
06/12/2014
Last updated
10/16/2014
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