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Individual

KUSSAY NASSR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 CROWNE POND LN, WILTON, CT 06897-3029
(267) 978-8872
Mailing address
12 CROWNE POND LN, WILTON, CT 06897-3029
(267) 978-8872

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
2023-02826
NC
2084N0400X
Neurology Physician
0101254953
VA
2084N0400X
Neurology Physician
2023-02826
NC
2084N0400X
Neurology Physician
338628
LA
2084N0400X
Neurology Physician
67068
CT
2084N0400X
Neurology Physician
MD418166
PA
2084N0400X
Neurology Physician
ME164693
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009357880003
PA
01
338628
LA LICENSE
LA
Enumeration date
06/17/2005
Last updated
03/07/2024
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