Individual
IMRAN AHMED MRIDHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
75 KINGS HIGHWAY CUTOFF STE 3A, FAIRFIELD, CT 06824-5340
(203) 743-7264
(203) 792-3920
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031-7958
(703) 914-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5039
CT
Other
Enumeration date
07/24/2020
Last updated
03/07/2022
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