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Organization

MENTAGEN ADVANCED BEHAVIORAL MEDICINE, PC

Active
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Organization

MENTAGEN ADVANCED BEHAVIORAL MEDICINE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMAD SHAMSI MD (OWNER)
(860) 338-4864
Entity
Organization

Contact information

Practice address
74 NEW LONDON TPKE, SUITE 5, GLASTONBURY, CT 06033-4204
(860) 338-4864
Mailing address
74 NEW LONDON TPKE, SUITE 5, GLASTONBURY, CT 06033-4204
(860) 338-4864

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/15/2012
Last updated
05/15/2012
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