Provider Demographics
NPI:1528172855
Name:TOOR, NASIM FIRDAUS (MD)
Entity type:Individual
Prefix:DR
First Name:NASIM
Middle Name:FIRDAUS
Last Name:TOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NASIM
Other - Middle Name:
Other - Last Name:FIRDAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 HART ST
Mailing Address - Street 2:BLDG B
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052
Mailing Address - Country:US
Mailing Address - Phone:860-223-3331
Mailing Address - Fax:860-225-2430
Practice Address - Street 1:40 HART ST
Practice Address - Street 2:BLDG B
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052
Practice Address - Country:US
Practice Address - Phone:860-223-3331
Practice Address - Fax:860-225-2430
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT17334207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B39307Medicare UPIN