Individual
MARIAM FARHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5718
Mailing address
76 TYLER HILL RD, NAUGATUCK, CT 06770-3193
(347) 579-3724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65591
CT
Other
Enumeration date
07/14/2017
Last updated
07/02/2020
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