Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 1.067404 | CT |
N | 204F00000X | Transplant Surgeon | P2627 | TX |
N | 208200000X | Surgeon | 43684 | WI |
N | 208600000X | Surgeon | 43684 | WI |
N | 208200000X | Surgeon | 63647 | GA |
N | 208600000X | Surgeon | 63647 | GA |
NPI | 1477501039 |
---|---|
Provider Name | Wasim A. Dar |
First Address | Wethersfield, CT 06109-4337 |
Second Address | Hartford, CT 06106-5502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 16/09/2021 |