Individual
SETAREH ALIPOURFETRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 WEST ST, SOUTHINGTON, CT 06489-6025
(860) 276-6000
(860) 679-6059
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4477
(860) 679-0121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062353
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
09/29/2022
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