Individual
DR. AMIR ELMISELHY MASOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 CEDAR STREET, TAC, NEW HAVEN, CT 06510
(203) 785-4138
Mailing address
300 CEDAR STREET, TAC, NEW HAVEN, CT 06510
(203) 785-4138
(203) 737-1345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011019849
MO
207RG0100X
Gastroenterology Physician
Primary
CSP.0053282
CT
Other
Enumeration date
07/10/2008
Last updated
07/09/2015
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