Individual
MUSADDIQ AHMED ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 MAIN ST, FARMINGTON, CT 06032-2961
(860) 677-5047
(860) 674-9995
Mailing address
29 HARLEY DR APT 8, WORCESTER, MA 01606-1739
(732) 492-9312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015335
CT
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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