Individual
DR. MUBDIUL IMTIAZ ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 CEDAR ST # S425, NEW HAVEN, CT 06519-1612
(203) 785-3207
Mailing address
1250 E MARSHALL ST, POB 980050, RICHMOND, VA 23298-0050
(973) 972-4300
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
62410
CT
207RP1001X
Pulmonary Disease Physician
62410
CT
Other
Enumeration date
04/27/2012
Last updated
01/25/2020
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