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Masuma Islam, MD
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1174100309

Masuma Islam is a Student in an Organized Health Care Education/Training Program based in Stamford, CT. Masuma Islam practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Masuma Islam is 1174100309 and holds a License No. (Connecticut).

The current practice location address for Masuma Islam is 56 Franklin St, Waterbury, CT and can be reached out via phone at 404-513-7307.

Location: 56 Franklin St, Waterbury, CT, 06902-3642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174100309
Provider Name
Masuma Islam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
56 Franklin St, Waterbury, CT, 06902-3642
Phone Number
404-513-7307
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
56 Franklin St
City
Waterbury
State
Connecticut
Zip
06706-1253
Phone Number
404-513-7307
Fax Number
person
Provider Business Mailing Address Details
Address
56 Franklin St
City
Waterbury
State
Connecticut
Zip
06706-1253
Phone Number
404-513-7307
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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