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Individual

DR. FAR RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND, MSC

Contact information

Practice address
386 MYRTLE AVE, BRIDGEPORT, CT 06604-5443
(917) 940-6435
Mailing address
48 CHESTER AVE, NEWARK, NJ 07104-4130
(917) 940-6435

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
CT
175F00000X
Naturopath
Primary
CT

Other

Enumeration date
09/17/2020
Last updated
09/17/2020
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