Individual
MR. SAMEEN ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 CHURCH ST S, NEW HAVEN, CT 06519-1703
(844) 433-9253
Mailing address
100 CHURCH ST S STE A230, NEW HAVEN, CT 06519-1703
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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