Organization
OMAR A IBRAHIMI MD PHD LLC
Active
Other names
Connecticut Skin Institute
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR A IBRAHIMI (OWNER)
(203) 428-4440
Entity
Organization
Contact information
Practice address
2777 SUMMER ST STE 600, STAMFORD, CT 06905-4323
(203) 428-4440
(901) 221-4916
Mailing address
2777 SUMMER ST STE 600, STAMFORD, CT 06905-4323
(917) 301-3781
(901) 221-4916
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
049530
CT
Other
Enumeration date
07/30/2012
Last updated
06/11/2023
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