Individual
IBRAHIM ABU AL-ROUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
240 CONGRESS AVE APT 209, NEW HAVEN, CT 06519-1402
(617) 383-3456
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14367
CT
Other
Enumeration date
04/15/2025
Last updated
05/13/2025
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