Individual
DR. KHAYREDDINE BOUABIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, PHD,
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(347) 330-0857
Mailing address
732 FULTON ST, BROOKLYN, NY 11238-6503
(347) 330-0857
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
05/08/2025
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