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Individual

MARCO ABDO MOUANNESS

Active
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Individual

MARCO ABDO MOUANNESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
67160
CT
207VG0400X
Gynecology Physician
67160
CT
207VX0000X
Obstetrics Physician
67160
CT

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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