Individual
DR. NAUSHAD RATAN EDIBAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 HIGGINS HWY, #10, MANSFIELD CENTER, CT 06250-1437
(860) 423-2587
Mailing address
27 BRIDGE ST, #10, STAMFORD, CT 06905-4501
(203) 325-2661
(203) 323-5611
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
009711
CT
Other
Enumeration date
07/08/2007
Last updated
11/07/2016
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