Individual
HIBA IBAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 EASTERN BLVD STE 200, GLASTONBURY, CT 06033-4353
(860) 781-6294
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(214) 403-0838
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
73252
CT
Other
Enumeration date
06/04/2018
Last updated
07/23/2023
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