Provider Demographics
NPI:1093995615
Name:QUADIR, MUZIANA S (MD)
Entity Type:Individual
Prefix:
First Name:MUZIANA
Middle Name:S
Last Name:QUADIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 983
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-0983
Mailing Address - Country:US
Mailing Address - Phone:203-877-6000
Mailing Address - Fax:203-877-6003
Practice Address - Street 1:174 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3415
Practice Address - Country:US
Practice Address - Phone:203-877-6000
Practice Address - Fax:203-877-6003
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT45912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine