Organization
MISBAH M. VAHIDY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISBAH M. VAHIDY M.D. (PRESIDENT)
(203) 238-3871
Entity
Organization
Contact information
Practice address
546 S BROAD ST, SUITE 2E, MERIDEN, CT 06450-6600
(203) 238-3871
(203) 238-4698
Mailing address
546 S BROAD ST, SUITE 2E, MERIDEN, CT 06450-6600
(203) 238-3871
(203) 238-4698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19550
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001195502
—
CT
Enumeration date
01/10/2012
Last updated
02/27/2012
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