Individual
AMMR AL-HOUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
263 FARMINGTON AVENUE, OP S7235, FARMINGTON, CT 06030-8073
(860) 679-3467
(860) 679-1110
Mailing address
263 FARMINGTON AVE, LM068, FARMINGTON, CT 06030-1921
(860) 679-4763
(860) 679-4624
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
07/29/2019
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