Individual
ALI TORABZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 W MAIN ST, AVON, CT 06001-4322
(860) 696-2150
(860) 696-2160
Mailing address
339 W MAIN ST, AVON, CT 06001-4322
(860) 696-2150
(860) 696-2160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045914
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710176631
NPI
—
Enumeration date
10/16/2007
Last updated
09/23/2011
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