Provider Demographics
NPI:1508372707
Name:MAJID, ABDUL
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:
Last Name:MAJID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2984
Mailing Address - Country:US
Mailing Address - Phone:860-284-0508
Mailing Address - Fax:860-284-0519
Practice Address - Street 1:504 MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2984
Practice Address - Country:US
Practice Address - Phone:860-284-0508
Practice Address - Fax:860-284-0519
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker