JAMSHID A MARVASTI, M.D. P.C.
Psychiatric at Haynes St, Manchester, CT

License number
Connecticut 19515
Category
Psychiatric
Type
Psychiatry
Owner
Name: JAMSHID A MARVASTI M.D.
Title: OWNER
Phone: (860) 643-1166
Address
Address
71 Haynes St, Manchester, CT 06040
National Provider ID: 1063724359
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMSHID MARVASTI, M.D. PC

Manchester, CT

Industry:
Psychiatrist
Doing business as:
Jamshid Marvasti MD
Registration:
Oct 1, 1981
Phone:
(860) 643-1166 (Phone)
Addresses:
71 Haynes St Mmh, Manchester, CT 06040 (Physical)
130 Porter St, Manchester, CT 06040 (Mailing)
71 Haynes St, Manchester, CT 06040
State ID:
0123030
Business type:
Stock
S:
Jamshid A. Marvasti, M.d (PRESIDENT), 71 Haynes St Mmh, Manchester, CT 06040 (Mailing)
130 Porter St, Manchester, CT 06040 (Physical),Mary Marvasti (SECRETARY), 130 Porter St, Manchester, CT 06040 (Mailing),Jamshid Alem Marvasti
Agent:
Frank J Mccoy,310 Hartford Tpke, Vernon Rockville, CT 06066 (Mailing)
12 Brookside Ln, Vernon Rockville, CT 06066 (Physical)

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