Individual
DR. ALI REZA BAKHSHALIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
11781 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-3309
(571) 777-5164
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49505
CT
207L00000X
Anesthesiology Physician
MD439911
PA
Other
Enumeration date
01/10/2007
Last updated
08/26/2015
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