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Individual

DR. HASMUKH J SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 WOOD POND RD, GLASTONBURY, CT 06033-3702
(860) 633-0071
Mailing address
100 WOOD POND RD, GLASTONBURY, CT 06033-3702
(860) 633-0071

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19637
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1196377
CT
Enumeration date
01/12/2007
Last updated
07/08/2007
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