Individual
SHANZA IHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6007
Mailing address
754 CLINTON AVE, BRIDGEPORT, CT 06604-2301
(203) 218-1997
(203) 923-2205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56942
CT
Other
Enumeration date
03/10/2015
Last updated
08/08/2023
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