Most Relevant Information
Provider Data
| NPI Number: | 1003355850 |
| Provider Name: | TOMOR SEDALIU |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2017 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
267 GRANT ST
BRIDGEPORT
CT
066102805
Practice Location Phone/Fax
| Phone: | 2033844677 |
| Fax: | 2033843135 |
Provider Mailing Location
20 YORK STREET, CB-329
NEW HAVEN
CT
065103220
Provider Mailing Phone/Fax
| Phone: | 2033844677 |
| Fax: | 2033843135 |