Individual
ASHRAF M. OLOUFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-5500
(352) 265-5504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63447
CT
2084P0800X
Psychiatry Physician
MD067006L
PA
2084P0800X
Psychiatry Physician
ME104919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000928243
HIGHMARK BLUE SHIELD
PA
05
—
0017947990016
—
PA
01
—
50050052
CAPITAL BLUE CROSS
PA
Enumeration date
05/23/2006
Last updated
11/15/2021
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