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Individual

FIKRY B SALIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
144 WEST LN, STAMFORD, CT 06905-3957
(203) 356-1386
Mailing address
144 WEST LN, STAMFORD, CT 06905-3957
(203) 356-1386

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
017038
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161648882001
CIGNA HEALTHCARE
CT
01
2V2410
HEALTHNET
CT
01
P2890682
OXFORD HEALTH PLANS
CT
Enumeration date
01/31/2007
Last updated
07/09/2007
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