Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 044065 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 044065 | CT |
NPI | 1891998423 |
---|---|
Provider Name | Dr. Mariam Hakim-Zargar |
First Address | Avon, CT 06001-2314 |
Second Address | Torrington, CT 06790-6669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2007 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E47716 | (02) | CT |