Individual
MISS YAUSS B SAFAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MASONICARE, 22 MASONIC AVENUE, WALLINGFORD, CT 06492
(203) 679-5609
Mailing address
MASONICARE, 22 MASONIC AVENUE, WALLINGFORD, CT 06492
(203) 679-5609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
051180
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2010
Last updated
09/01/2016
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