Individual
DR. WALID A. JAZIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 889-3052
(860) 889-0926
Mailing address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 889-3052
(860) 889-0926
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
027994
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027994
MD LICENSE NUMBER
CT
Enumeration date
01/26/2007
Last updated
07/08/2007
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