Provider Demographics
NPI:1225828932
Name:MUZAFFAR, MOMIL (MBBS)
Entity type:Individual
Prefix:MRS
First Name:MOMIL
Middle Name:
Last Name:MUZAFFAR
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 AVALON GATES
Mailing Address - Street 2:APT #9213
Mailing Address - City:TRUMBALL
Mailing Address - State:CT
Mailing Address - Zip Code:06611
Mailing Address - Country:US
Mailing Address - Phone:475-210-1346
Mailing Address - Fax:475-210-5022
Practice Address - Street 1:2800 MAIN STREET
Practice Address - Street 2:DEPARTMENT OF MEDICAL EDUCATION
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-4201
Practice Address - Country:US
Practice Address - Phone:475-210-5131
Practice Address - Fax:475-210-5022
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program