Individual
AMIR JAMAL MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
1263 CHAPEL ST APT C3, NEW HAVEN, CT 06511-4608
(614) 735-2856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
78159
CT
Other
Enumeration date
03/26/2021
Last updated
06/24/2024
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