Individual
SHERIF FAROUK KHODIRI MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MAIN ST, WETHERSFIELD, CT 06109-3125
(860) 470-6950
Mailing address
100 DAVIS ST, NEW HAVEN, CT 06515-1612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
877
CT
Other
Enumeration date
07/22/2024
Last updated
02/24/2025
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