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Individual

ANAS AHMAD DALLOUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Mailing address
9975 NW 7TH ST, PLANTATION, FL 33324-4908
(954) 401-0339

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
81723
CT
207L00000X
Anesthesiology Physician
OS22456
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2020
Last updated
07/26/2025
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