Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 25MA09308000 | NJ |
Y | 2086S0129X | Vascular Surgeon | 56696 | CT |
NPI | 1033366745 |
---|---|
Provider Name | Dr. Naiem Nassiri |
First Address | New Haven, CT 06510 |
Second Address | New Haven, CT 06510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2008 |
Last Update Date | 13/09/2017 |