Organization
LATIF & MUSHTAQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASER MUSHTAQ MD (PARTNER)
(860) 781-7123
Entity
Organization
Contact information
Practice address
585 BURNSIDE AVE, EAST HARTFORD, CT 06108-3537
(860) 781-7123
(860) 781-7103
Mailing address
585 BURNSIDE AVE, EAST HARTFORD, CT 06108-3537
(860) 781-7123
(860) 781-7103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006646
CT
2084P0800X
Psychiatry Physician
Primary
046918
CT
Other
Enumeration date
03/21/2013
Last updated
05/09/2014
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