Individual
DR. YOUSSEF KHAWAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 CORNERSTONE CT, PLANTSVILLE, CT 06479-1551
(860) 621-9353
(860) 621-1815
Mailing address
16 CORNERSTONE CT, PLANTSVILLE, CT 06479-1551
(860) 621-9353
(860) 621-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033533
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
033533
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001335331
—
CT
Enumeration date
01/12/2006
Last updated
10/08/2010
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