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Individual

DR. ABDEL F ALLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
196 WOODLAND ST, BRISTOL, CT 06010-5266
(860) 589-4742
(860) 589-1658
Mailing address
196 WOODLAND ST, PO BOX 2760, BRISTOL, CT 06011-2760
(860) 589-4742
(860) 589-1658

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14043
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001140433
CT
Enumeration date
08/11/2006
Last updated
07/08/2007
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