Individual
SINA HABIBOLLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4442
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/07/2024
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