Provider Demographics
NPI:1235383928
Name:ABDUL GAFFAR, MAJIDA ABDUL (MD)
Entity Type:Individual
Prefix:MS
First Name:MAJIDA
Middle Name:ABDUL
Last Name:ABDUL GAFFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MAJIDA
Other - Middle Name:ABDUL
Other - Last Name:GAFFAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:366 COLT HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032
Mailing Address - Country:US
Mailing Address - Phone:860-409-0449
Mailing Address - Fax:860-409-0551
Practice Address - Street 1:366 COLT HIGHWAY
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032
Practice Address - Country:US
Practice Address - Phone:860-409-0449
Practice Address - Fax:860-409-0551
Is Sole Proprietor?:No
Enumeration Date:2008-11-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249487207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology