Organization
WATERBURY PSYCHIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZHAR IMAM M.D. (PRESIDENT)
(203) 597-0575
Entity
Organization
Contact information
Practice address
133 SCOVILL ST, SUITE # 201, WATERBURY, CT 06706-1127
(203) 597-0575
(203) 757-4105
Mailing address
133 SCOVILL ST, SUITE # 201, WATERBURY, CT 06706-1127
(203) 597-0575
(203) 757-4105
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
042814
CT
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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