Individual
DR. SYED SHUJAAT ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(866) 808-7921
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(866) 808-7921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238145
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081065A
—
MA
Enumeration date
02/17/2006
Last updated
03/03/2023
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