Individual
MR. SAMER EIN ALSHAEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 SCOVILL ST, WATERBURY, CT 06706-1113
(203) 465-5292
(203) 465-5296
Mailing address
95 SCOVILL ST, WATERBURY, CT 06706-1113
(203) 465-5292
(203) 465-5296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001940
NY
207R00000X
Internal Medicine Physician
Primary
36185
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635812
—
NY
05
—
150734
—
AZ
Enumeration date
06/04/2006
Last updated
09/30/2016
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