Madraswalla, Ayaz T

Madraswalla, Ayaz T is an individual health care provider with primary practice located at 391 Pomfret St , Putnam CT 06260-1852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Madraswalla, Ayaz T can be contacted via phone (860) 731-5522.

Contact Information

Primary practice address
391 Pomfret St Putnam CT 06260-1852
Phone: (860) 731-5522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34327 Connecticut
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 034327 Connecticut

Profile Details

NPI number 1902899859
LBN Legal business name Madraswalla, Ayaz T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jan 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers