Provider Demographics
NPI:1881836559
Name:MUFTI, NAUMAN JAMEEL (MD, MPH)
Entity Type:Individual
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First Name:NAUMAN
Middle Name:JAMEEL
Last Name:MUFTI
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2 BRIDGEWATER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2269
Mailing Address - Country:US
Mailing Address - Phone:860-678-9900
Mailing Address - Fax:860-678-9901
Practice Address - Street 1:2 BRIDGEWATER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2269
Practice Address - Country:US
Practice Address - Phone:860-678-9900
Practice Address - Fax:860-678-9901
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2017-03-10
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Provider Licenses
StateLicense IDTaxonomies
CT0393062083X0100X, 208D00000X, 207QS0010X, 2083P0500X, 202C00000X, 2083P0901X
CT0393092083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG50058Medicare UPIN