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1174260947
AKHTAR MOHAMMAD
MANCHESTER, CT
NPI
1174260947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
AKHTAR MOHAMMAD DO
130 HARTFORD RD
MANCHESTER, CT 06040-5921
Phone number: 860-533-4679
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Mailing Address
AKHTAR MOHAMMAD DO
71 HAYNES ST
MANCHESTER, CT 06040-4188
Phone number: 860-533-4679
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