Individual
DR. ATIQUE AZAM MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 WOODLAND ST, SUITE# 35, HARTFORD, CT 06105-2372
(860) 525-1234
(860) 278-8782
Mailing address
19 WOODLAND ST, SUITE# 47, HARTFORD, CT 06105-2372
(860) 525-4005
(860) 525-4839
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
041416
CT
Other
Enumeration date
05/26/2006
Last updated
07/07/2015
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