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Individual

OLTJON ALBAJRAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51030
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1182848
USA
CT
01
1336371566
ANTHEM BCBS CT
CT
05
1336371566
CT
01
814667
WELLCARE
CT
01
PENDING
RAILROAD MEDICARE
CT
Enumeration date
08/21/2009
Last updated
07/14/2014
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