Individual
MR. MUSTAKIM TALUKDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(603) 264-8726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1674
NH
363A00000X
Physician Assistant
7010
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2019
Last updated
03/11/2025
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