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1578516597
AZHAR IMAM
WATERBURY, CT
NPI
1578516597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT 042814)
Enumeration Date
2006-05-19
Last Update Date
2011-10-19
Business Address
-- AZHAR IMAM MD
100 JEFFERSON SQUARE
WATERBURY, CT 06706-1253
Phone number: 203-709-6200
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Mailing Address
-- AZHAR IMAM MD
56 FRANKLIN ST 3RD FLOOR
WATERBURY, CT 06706-1221
Phone number: 203-709-8873
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