Individual
SUMARA IMTIAZ CHOUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
267 GRANT STREET, BRIDGEPORT, CT 06610-2805
(203) 384-4677
(203) 384-3135
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 384-4677
(203) 384-3135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4040
CT
363A00000X
Physician Assistant
C0006353
MD
Other
Enumeration date
01/19/2017
Last updated
09/14/2021
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