Individual
SULAFA EISA MOHAMMED IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-6113
Mailing address
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
06/11/2025
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