NPI 1023687654

Matthew Alazar Michael, MD

Practitioner Student in an Organized Health Care Education/Training Program Bridgeport, CT

Practice location

Address: 2800 Main St, Bridgeport, CT 06606-4201
Phone: (475) 210-5791

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023687654
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2021
Record last updated: 18 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.