Individual
MOHAMED MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UCONN HEALTH-OUTPATIENT PAVILION 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8031
(860) 679-4888
(860) 679-0134
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-2147
(860) 679-4624
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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