Organization
EASTSIDE CHEST PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HASHMI M.D. (OWNER)
(860) 560-0258
Entity
Organization
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3102F, HARTFORD, CT 06105-1770
(860) 560-0258
(860) 560-0526
Mailing address
1000 ASYLUM AVE, SUITE 3102F, HARTFORD, CT 06105-1770
(860) 560-0258
(860) 560-0526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00102
MEDICARE GROUP PTAN
CT
Enumeration date
09/20/2007
Last updated
09/20/2007
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