Individual
ASHRAF MOUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 PALOMBA DR, ENFIELD, CT 06082-3888
(860) 745-0183
Mailing address
15 PALOMBA DR, ENFIELD, CT 06082-3888
(860) 745-0183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011861
CT
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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