Individual
DR. WAZIDA TABASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
74 PARK RD, SUITE # 4, WEST HARTFORD, CT 06119-1853
(860) 218-1725
(860) 218-1727
Mailing address
345 BUCKLAND HILLS DR, APT 11232, MANCHESTER, CT 06042-8704
(203) 209-4788
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
001764
CT
Other
Enumeration date
06/17/2008
Last updated
09/02/2010
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