Individual
AMIRA HASSAN AWADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1326
(203) 419-6659
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8021
(860) 679-4477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
067115
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
07/11/2022
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