Individual
DR. MANZOOR MUSTAFA USMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 RUSSELL ST, NEW BRITAIN, CT 06052-1312
(860) 826-4985
Mailing address
77 JUDY LN, STAMFORD, CT 06906-2102
(203) 249-6355
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
0101246243
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
048314
CT
Other
Enumeration date
04/03/2007
Last updated
07/15/2010
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