Individual
HANY S WAHBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 CHESTNUT CT, CROMWELL, CT 06416-1714
(860) 632-8745
Mailing address
11 CHESTNUT CT, CROMWELL, CT 06416-1714
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
015054
CT
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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