Individual
OMAR S. FARIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 CHERRY ST, MILFORD, CT 06460-3502
(203) 878-1236
(203) 874-8838
Mailing address
202 CHERRY ST, MILFORD, CT 06460-3502
(203) 878-1236
(203) 874-8838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
050495
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004068649
—
CT
Enumeration date
07/16/2007
Last updated
09/11/2012
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