Individual
MARJAN HEDAYATZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 LOCUST AVE, DANBURY, CT 06810-6034
(203) 792-5005
(203) 791-9899
Mailing address
90 LOCUST AVE, DANBURY, CT 06810-6034
(203) 792-5005
(203) 791-9899
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
049062
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049062
MEDICAL LICENSE
—
05
—
1497069223
—
CT
Enumeration date
08/04/2010
Last updated
05/11/2017
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