Shady Elsamra M.D.

NPI 1144459785 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1144459785
Gender Male
Enumeration Date 07/03/2009
Last Updated 03/05/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
34 PARK ST
NEW HAVEN CT, 06519-1109, US
Phone (203) 800-1361
Fax
Business Location
34 PARK ST
NEW HAVEN CT, 06519-1109, US
Phone (203) 800-1361
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Connecticut
License Number 1.052793
Remove 1144459785 NPI Number
 

According to our database, Dr. Shady Elsamra M.D. NPI is 1144459785, taxonomy code is 2084P0800X and license number is 1.052793, license state is located at Connecticut. Shady Elsamra M.D. physically located at 34 Park St, New Haven CT, 06519-1109. NPI Number Shady Elsamra M.D. has the Individual type.

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1144459785 NPI number is provided on an as is basis without warranty of any kind. 1144459785 is maintained by the National Plan & Provider Enumeration System. The contents of Shady Elsamra M.D. are for informational purposes only.