Individual
OMAR YASSER ABED SHAKHTOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(036) 884-7482
(036) 884-7402
Mailing address
20 YORK STREET, CB-329, NORTHEAST MEDICAL GROUP, INC., NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
73863
CT
Other
Enumeration date
08/28/2020
Last updated
05/24/2023
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