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1215490891
MARYAM IFTIKHAR
WETHERSFIELD, CT
NPI
1215490891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 4424)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
MARYAM IFTIKHAR
672 SILAS DEANE HWY
WETHERSFIELD, CT 06109-3053
Phone number: 860-967-3600
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Mailing Address
MARYAM IFTIKHAR
38 BOLDUC CT
WOLCOTT, CT 06716-3146
Phone number: 203-578-5157
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