Individual
MARYAM UMAR IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
FAMILY MEDICINE CENTER AT ASYLUM HILL, 99 WOODLAND STREET, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
FAMILY MEDICINE CENTER AT ASYLUM HILL, 99 WOODLAND STREET, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
02/13/2023
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