Organization
JOHN NAZARIAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NAZARIAN MD (OWNER)
(860) 993-5524
Entity
Organization
Contact information
Practice address
2446 ALBANY AVE, WEST HARTFORD, CT 06117-2598
(860) 993-5524
Mailing address
15 HIGHLAND ST, 304, WEST HARTFORD, CT 06119-1377
(860) 993-5524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
034554
CT
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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