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Individual

DR. JAN MASHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
69 SAND PIT RD, STE 300, DANBURY, CT 06810-4004
(203) 748-2551
(203) 790-6375
Mailing address
69 SAND PIT RD, STE 300, DANBURY, CT 06810-4004
(203) 748-2551
(203) 790-6375

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
CT013908
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010013908CT01
ANTHEM
CT
05
1139088
CT
Enumeration date
06/16/2005
Last updated
06/29/2010
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