Individual
DR. OMAR MOHAMMAD IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-8300
(860) 679-8344
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2212
(860) 679-8300
(860) 679-8344
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
53313
CT
Other
Enumeration date
07/15/2007
Last updated
09/26/2022
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