Doctor Name: | DR. NILOUFAR MOBASHERY |
NPI Number: | 1912195918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A79219 |
Business Practice Address: | 50 Pequot Ave Ms 6025-b3125 New London, CT - 063205410 |
Business Phone Number: | 8607321033 |
Business Fax Number: | |
Mailing Address: | 20 Dennison Rd, ESSEX |
State: | CT |
Postal Code: | 064261350 |
Phone Number: | 4087057193 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2007 |
NPI Last Update Date: | 10/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A79219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |