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1558970558
IMRAN AHMED MRIDHA
FAIRFIELD, CT
NPI
1558970558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 5039)
Enumeration Date
2020-07-24
Last Update Date
2022-03-07
Business Address
IMRAN AHMED MRIDHA PA
75 KINGS HIGHWAY CUTOFF STE 3A
FAIRFIELD, CT 06824-5340
Phone number: 203-743-7264
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Mailing Address
IMRAN AHMED MRIDHA PA
11350 MCCORMICK RD EXECUTIVE PLAZA 1, STE. 501
HUNT VALLEY, MD 21031-7958
Phone number: 703-914-8000
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