Individual
MOAZZEM HOSSAIN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HAVILAND HALL, 12 JOYCE DRIVE, MIDDLETOWN, CT 06457-6407
(860) 262-7026
(860) 262-6525
Mailing address
HAVILAND HALL, 12 JOYCE DRIVE, MIDDLETOWN, CT 06457-1886
(347) 446-9114
(860) 262-6525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4933
AK
207R00000X
Internal Medicine Physician
67320
CT
Other
Enumeration date
09/29/2008
Last updated
02/02/2024
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