Individual
DR. HAQ NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
(203) 732-1332
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035478
CT
208M00000X
Hospitalist Physician
035478
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001354787
—
CT
Enumeration date
11/22/2005
Last updated
10/02/2018
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