Individual
MAHD NISHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 382-2350
(203) 581-6587
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9033
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
78883
CT
Other
Enumeration date
05/13/2019
Last updated
07/10/2024
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