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1669865044
SHANZA IHSAN
BRIDGEPORT, CT
NPI
1669865044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 56942)
Enumeration Date
2015-03-10
Last Update Date
2023-08-08
Business Address
SHANZA IHSAN
46 ALBION ST
BRIDGEPORT, CT 06605-2602
Phone number: 203-330-6000
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Mailing Address
SHANZA IHSAN
754 CLINTON AVE
BRIDGEPORT, CT 06604-2301
Phone number: 203-218-1997
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