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General NPI Number Information
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NPI Number | 1356786537
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Entity Type | Individual
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Provider Name | MARYAM SYED DO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 1505 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880
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Country | US
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Telephone | 203-221-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 POST RD E
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City | WESTPORT
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State | CT
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Zip | 06880-5512
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Country | US
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Telephone | 203-221-3830
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 282201
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 68973
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License Number State | CT
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