Individual
DR. HOOMAN FAZLALIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102-8000
(860) 972-0549
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-0549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75926
CT
207R00000X
Internal Medicine Physician
MD046359
DC
Other
Enumeration date
06/28/2015
Last updated
10/09/2023
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