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Organization

DISABILITY DETERMINATION SERVICES

Active
Other names
Department of Rehabilitative Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KURSHID KHAN M.D. (MEDICAL CONSULTANT)
(860) 466-6302
Entity
Organization

Contact information

Practice address
309 WAWARME AVE, HARTFORD, CT 06114-1509
(860) 466-6302
Mailing address
20 WESTWOOD DR, NEW BRITAIN, CT 06052-1016
(860) 223-4694

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
012934
CT

Other

Enumeration date
03/07/2012
Last updated
03/07/2012
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