Organization
KAMEL H GHANDOUR M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEBASTIAN P SWAMIDOSS (ACCOUNT MANAGER)
(203) 901-2222
Entity
Organization
Contact information
Practice address
107 GLENBROOK RD, STAMFORD, CT 06902-3001
(203) 901-2222
Mailing address
107 GLENBROOK RD, STAMFORD, CT 06902-3001
(203) 901-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44176
CT
Other
Enumeration date
02/11/2014
Last updated
08/07/2014
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