NPI Search for Physicians and Health Care Providers
GADA M ABDELHAFIZ MD
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1467649558
Individual Registrant:
GADA M ABDELHAFIZ MD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
365 MONTAUK AVE NEW LONDON, CT 06320-4700 US
Tel: 860-271-4364 Fax: --
Contact information for business:
365 MONTAUK AVE NEW LONDON, CT 06320-4700 US
Tel: 860-271-4364 Fax: --
Registration Information:
NPI: 1467649558
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine
| CT | 045806 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
LICENSE | 045806 | CT | 01 |
ANTHEM | 000000577026 | IN | 01 |
HEALTH CARE JOBS CT - Page 1