Organization
WEST HAVEN VA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY SHENOUDA-AWAD O.D. (STAFF OPTOMETRIST)
(203) 932-5711
Entity
Organization
Contact information
Practice address
950 CAMPBELL AVENUE, WEST HAVEN, CT 06516
(203) 932-5711
Mailing address
984 S OXFORD AVE, APT 102, LOS ANGELES, CA 90006-1168
(310) 279-6124
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2914
CT
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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