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Organization

MERIDEN HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHEEN AHMED (OWNER)
(203) 238-3788
Entity
Organization

Contact information

Practice address
834 BROAD ST, MERIDEN, CT 06450-4364
(203) 238-3788
(203) 238-3790
Mailing address
834 BROAD ST, MERIDEN, CT 06450-4364
(203) 238-3788
(203) 238-3790

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042588
CT
207Q00000X
Family Medicine Physician
046516
CT
208000000X
Pediatrics Physician
031248
CT
208000000X
Pediatrics Physician
Primary
033904
CT
363LF0000X
Family Nurse Practitioner
0033368
CT
363LP0200X
Pediatric Nurse Practitioner
4217
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004247236
CT
Enumeration date
05/22/2006
Last updated
04/28/2017
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