MIHIR S WAGH
Physician/surgeon


Address: Brigham & Womens Hospital-div of Gastroenterology, Boston, MA 02115

MIHIR S WAGH (Credential# 557487) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.

Business Overview

MIHIR S WAGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039904. The credential type is physician/surgeon. The effective date is June 1, 2005. The expiration date is February 28, 2006. The business address is Brigham & Womens Hospital-div of Gastroenterology, Boston, MA 02115. The current status is inactive.

Basic Information

Licensee Name MIHIR S WAGH
Credential ID 557487
Credential Number 1.039904
Credential Type Physician/Surgeon
Business Address Brigham & Womens Hospital-div of Gastroenterology
Boston
MA 02115
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-09-26
Effective Date 2005-06-01
Expiration Date 2006-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
288982 CSP.0031515 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address BRIGHAM & WOMENS HOSPITAL-DIV OF GASTROENTEROLOGY
City BOSTON
State MA
Zip Code 02115

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Katherine K Lee 360 Riverway Apt 12, Boston, MA 02115 Pharmacist 2020-02-01 ~ 2022-01-31
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Stephanie Demarino 96 Gainsborough St, Boston, MA 02115 Registered Nurse 2019-09-26 ~ 2020-05-31
Karyn M Palomba 456 Beacon Street, Boston, MA 02115 Registered Nurse 2019-12-01 ~ 2020-11-30
Danielle Costigan Brigham and Women's Hospital, Boston, MA 02115 Physician/surgeon 2019-03-25 ~ 2020-03-31
Gabrielle A Erwin 51 Gloucester Street, Boston, MA 02115 Pharmacy Technician 2017-04-01 ~ 2018-03-31
Rachid J Farah 211 Arlington St, Medford, MA 02115 Professional Engineer 2010-02-11 ~ 2011-01-31
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Competitor

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City BOSTON
Zip Code 02115
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOSTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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