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Individual

NABIL A ATWEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2811
(203) 384-3394
(203) 384-3829
Mailing address
PO BOX 415126, BOSTON, MA 02241-0001
(203) 384-3975
(203) 384-3829

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
031404
CT
2086S0102X
Surgical Critical Care Physician
Primary
031404
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001314046
CT
Enumeration date
03/10/2006
Last updated
07/22/2009
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