Individual
DR. MOHAMMAD ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 NEWTOWN RD, 2C, DANBURY, CT 06810-4146
(203) 791-9661
(203) 730-4165
Mailing address
107 NEWTOWN RD, 2C, DANBURY, CT 06810-4146
(203) 791-9661
(203) 730-4165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
038143
CT
208200000X
Plastic Surgery Physician
Primary
038143
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001381433
—
CT
Enumeration date
06/16/2005
Last updated
03/01/2018
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