Organization
JORGE DABDOUB MD INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A DABDOUB M.D. (OWNER)
(860) 889-4476
Entity
Organization
Contact information
Practice address
12 CASE ST, SUITE 104, NORWICH, CT 06360-2222
(860) 889-4476
(860) 889-6452
Mailing address
12 CASE ST, SUITE 104, NORWICH, CT 06360-2222
(860) 889-4476
(860) 889-6452
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
033578
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335787
—
CT
Enumeration date
08/30/2006
Last updated
03/20/2013
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