Provider Demographics
NPI:1760647176
Name:SYED, SAMEER (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMEER
Middle Name:
Last Name:SYED
Suffix:
Gender:M
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:THE GAYLORD HOSPITAL
Mailing Address - Street 2:50 GAYLORD FARM ROAD
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492
Mailing Address - Country:US
Mailing Address - Phone:203-679-3553
Mailing Address - Fax:203-284-2847
Practice Address - Street 1:THE GAYLORD HOSPITAL
Practice Address - Street 2:50 GAYLORD FARM ROAD
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492
Practice Address - Country:US
Practice Address - Phone:203-679-3553
Practice Address - Fax:203-284-2847
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT048491207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine