MARIAM ANSARI
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1164884334- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 260 LONG RIDGE RD, STAMFORD, CT, 069021638
- Phone
- (475) 619-6035
Specialties & Taxonomies
Family Medicine
License: NY #303761
Family Medicine
Primary License: CT #79980
All Addresses
MAILING
260 LONG RIDGE RD
STAMFORD, CT, 069021638