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1255994901
AMJAD PANICKAVEETTIL MOHAMED BASHEER
FARMINGTON, CT
NPI
1255994901
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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
2019-04-18
Last Update Date
2019-07-29
Business Address
AMJAD PANICKAVEETTIL MOHAMED BASHEER MBBS
UCONN HEALTH - GENERAL MEDICINE CLINIC 263 FARMINGTON AVE, OP 2 EAST
FARMINGTON, CT 06030-8021
Phone number: 860-679-4477
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Mailing Address
AMJAD PANICKAVEETTIL MOHAMED BASHEER MBBS
UCONN GRADUATE MEDICAL EDUCATION 263 FARMINGTON AVENUE LM068
FARMINGTON, CT 06030-1921
Phone number: 860-879-4763
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