Individual
HOUDA BOUHMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Mailing address
640 MIX AVE APT 4K, HAMDEN, CT 06514-2342
(717) 760-9685
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
80872
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8003148007
—
PA
Enumeration date
04/08/2020
Last updated
06/26/2025
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