Individual
QURAT MUDASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 HEIGHTS RD, DARIEN, CT 06820-4132
(203) 662-8900
Mailing address
24 STEVENS STREET, NORWALK, CT 06850-3852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56374
CT
207RI0200X
Infectious Disease Physician
56374
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2014
Last updated
06/05/2017
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