Individual
MARYAM HEDAYATZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 644-1100
(203) 644-1111
Mailing address
761 MAIN AVE, NORWALK, CT 06851-1080
(203) 644-1100
(203) 644-1111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
047760
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047760
LICENSE
CT
Enumeration date
06/12/2009
Last updated
06/12/2009
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