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Organization

HUMAYUN GAZDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUMAYUN GAZDER M.D. (AUTHORIZED OFFICIAL)
(517) 787-6440
Entity
Organization

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
06/18/2006
Last updated
08/22/2020
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