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Individual

ALI K RIBA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 785-2140
Mailing address
300 GEORGE ST 6TH FLOOR, PO BOX 9805, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
041250
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001412501
CT
Enumeration date
11/14/2005
Last updated
07/08/2007
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