Individual
DR. JAMSHID ALEM MARVASTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MMH, MANCHESTER, CT 06040-4131
(860) 643-1166
Mailing address
71 HAYNES ST, MMH, MANCHESTER, CT 06040-4131
(860) 643-1166
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19515
CT
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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