Individual
BASSAM AWWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
(860) 437-6914
(860) 437-6920
Mailing address
41 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
(860) 437-6914
(860) 437-6921
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024399
CT
2084P0800X
Psychiatry Physician
24399
CT
Other
Enumeration date
10/17/2006
Last updated
09/27/2021
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