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1194462903
AHAD MUHAMMAD IDRIS
MANCHESTER, CT
NPI
1194462903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
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
Dr. AHAD MUHAMMAD IDRIS DO
130 HARTFORD RD
MANCHESTER, CT 06040-5921
Phone number: 860-533-4679
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Mailing Address
Dr. AHAD MUHAMMAD IDRIS DO
71 HAYNES ST
MANCHESTER, CT 06040-4188
Phone number: 860-533-4679
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