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HEBA HUSSAM EL-JAFARAWI PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1649885138

Individual Registrant:
 HEBA HUSSAM EL-JAFARAWI PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
179 TALCOTTVILLE RD  VERNON ROCKVILLE, CT 06066-4615 US
Tel: 860-986-7600  Fax: --

Contact information for business:
118 AMBASSADOR DR UNIT A  MANCHESTER, CT 06042-2456 US
Tel: 860-729-2365  Fax: --

Registration Information:
NPI: 1649885138
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CT4972

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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