Individual
MUSTAPHA KEMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, L&M PHYSICIAN ASSOCIATION, INC., NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 442-0262
Mailing address
2 LORENZ INDUSTRIAL PKWY, LEDYARD, CT 06339-1946
(860) 464-3045
(860) 464-3043
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
035770
CT
208100000X
Physical Medicine & Rehabilitation Physician
MD14994
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357706
—
CT
Enumeration date
11/09/2005
Last updated
11/08/2019
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