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Individual

UMU KULTUMI BAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
170 MOUNT PLEASANT RD, NEWTOWN, CT 06470
(203) 426-1818
Mailing address
7 ACADIA LN PH 6404, SHELTON, CT 06484-4466
(240) 888-3694

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
017215
NY
363AM0700X
Medical Physician Assistant
Primary
4226
CT
363AM0700X
Medical Physician Assistant
C0004200
MD

Other

Enumeration date
06/18/2010
Last updated
09/14/2018
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