Individual
JIBRIL AHMAD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 HIGH RIDGE RD, STAMFORD, CT 06905-1601
(203) 324-5740
(203) 324-5735
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74327
CT
Other
Enumeration date
03/24/2020
Last updated
07/17/2023
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