Individual
PROF. ALI KHALED ABU-ALFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING -3RD FL, NEW HAVEN, CT 06519-1304
(203) 785-4184
(203) 785-7068
Mailing address
2480 WHITNEY AVE UNIT 10, HAMDEN, CT 06518-3020
(203) 654-9779
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
030742
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307421
—
CT
Enumeration date
12/05/2005
Last updated
01/24/2021
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