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1366420184
QAIYUM MUJTABA
WEST HAVEN, CT
NPI
1366420184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 16546)
Enumeration Date
2006-01-03
Last Update Date
2020-11-02
Business Address
QAIYUM MUJTABA MD
750 SAVIN AVE
WEST HAVEN, CT 06516-4314
Phone number: 203-931-7710
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Mailing Address
QAIYUM MUJTABA MD
381 TIMBERLANE DR
ORANGE, CT 06477-2844
Phone number: 203-931-7710
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