Individual
DR. FAWAD ALAM-SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4188
(860) 533-4679
(860) 645-4151
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
06/03/2025
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