AHMAD FOTOVAT

TRUMBULL, CT
NPI1740234178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: CT  022045)
Enumeration Date2006-05-20
Last Update Date2007-10-10
Business Address
-- AHMAD FOTOVAT MD
115 TECHNOLOGY DR C-100
TRUMBULL, CT 06611-1395
Phone number: 203-268-5212
Mailing Address
-- AHMAD FOTOVAT MD
115 TECHNOLOGY DR C-100
TRUMBULL, CT 06611-6337
Phone number: 203-268-5212