Individual
ALI HEMACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 HARTFORD TPKE, SUITE 207, VERNON, CT 06066-4841
(860) 872-5426
(860) 872-5689
Mailing address
428 HARTFORD TPKE, SUITE 207, VERNON, CT 06066-4841
(860) 872-5426
(860) 872-5689
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
039170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391705
—
CT
01
—
P00155389
RAILROAD MEDICARE
CT
Enumeration date
02/07/2006
Last updated
01/09/2008
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