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Individual

MISHA MOVAHED-EZAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-6113
Mailing address
20270 MERRICK DR, SARATOGA, CA 95070-4936

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/04/2017
Last updated
04/04/2017
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