Individual
DR. MOHAMMAD ATIQUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4677
(203) 384-3135
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
62402
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2016
Last updated
06/05/2019
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