Individual provider · Type 1 NPI

Nikoloz Mamulashvili

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1285470807 Active

Practice location

160 Robbins St
Waterbury, CT 06708-2652

Call (203) 573-7284 Map

Mailing address

64 Robbins St
Waterbury, CT 06708-2613

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285470807

Nikoloz Mamulashvili's National Provider Identifier is 1285470807, issued on Jul 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 3, 2024.