Provider Demographics
NPI:1477501039
Name:DAR, WASIM A (MD)
Entity Type:Individual
Prefix:
First Name:WASIM
Middle Name:A
Last Name:DAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:860-972-9033
Mailing Address - Fax:860-972-7040
Practice Address - Street 1:85 SEYMOUR ST STE 320
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5502
Practice Address - Country:US
Practice Address - Phone:860-696-2030
Practice Address - Fax:860-549-1476
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP2627204F00000X
GA63647208600000X
WI43684208600000X
CT1.067404204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery