Individual
AZIZ BENBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 LEWIS AVE, MERIDEN, CT 06451-2121
(203) 238-2691
(203) 235-3128
Mailing address
PO BOX 1065, WILBRAHAM, MA 01095-1065
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
038487
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001374875
—
CT
Enumeration date
08/03/2006
Last updated
06/05/2008
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