Individual
ABRA GRIZE MABASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 NEW MILFORD TPKE, NEW PRESTON, CT 06777-1703
(860) 868-7318
(860) 868-7310
Mailing address
125 NEW MILFORD TPKE, NEW PRESTON, CT 06777-1703
(860) 868-7318
(860) 868-7310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046475
CT
Other
Enumeration date
06/25/2008
Last updated
10/14/2024
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