Basic Information
| Provider Information | |||||||||
| NPI: | 1477501039 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAR | ||||||||
| FirstName: | WASIM | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1290 SILAS DEANE HWY | ||||||||
| Address2: | |||||||||
| City: | WETHERSFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061094337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8609729033 | ||||||||
| FaxNumber: | 8609727040 | ||||||||
| Practice Location | |||||||||
| Address1: | 85 SEYMOUR ST STE 320 | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061065502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606962030 | ||||||||
| FaxNumber: | 8605491476 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 09/16/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204F00000X | P2627 | TX | N | Allopathic & Osteopathic Physicians | Transplant Surgery | 208600000X | 63647 | GA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 43684 | WI | N | Allopathic & Osteopathic Physicians | Surgery | 204F00000X | 1.067404 | CT | Y | Allopathic & Osteopathic Physicians | Transplant Surgery |
No ID Information.