Individual
FAISAL IJAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
580 BURNSIDE AVE, EAST HARTFORD, CT 06108-3579
(860) 528-5068
(860) 528-2341
Mailing address
24 GRIMES RD, ROCKY HILL, CT 06067-2406
(860) 597-1331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5497
CT
Other
Enumeration date
08/28/2013
Last updated
09/20/2024
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