Individual
ALI ALKABASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8060
(860) 679-2804
(860) 679-0161
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2804
(860) 679-0161
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
5322
CT
363AS0400X
Surgical Physician Assistant
Primary
005322
CT
Other
Enumeration date
07/27/2021
Last updated
09/28/2022
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