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Individual

BADR F AL BAWARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
40 TEMPLE ST, NEW HAVEN, CT 06510
(203) 785-4138
(203) 737-1345
Mailing address
40 TEMPLE ST STE 1A, NEW HAVEN, CT 06510-2715
(203) 785-4138

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55200
MN
207RG0100X
Gastroenterology Physician
55200
MN
207RG0100X
Gastroenterology Physician
Primary
61070
CT

Other

Enumeration date
06/14/2011
Last updated
08/22/2018
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