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Individual

DR. DALAL H GH A HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD, CT 06102
(860) 834-0079
Mailing address
560 HUDSON ST, ERC BUILDING, HARTFORD, CT 06106
(860) 834-0079

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/19/2017
Last updated
07/19/2017
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