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1033722004
OMAR YASSER ABED SHAKHTOUR
NEW HAVEN, CT
NPI
1033722004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: CT 73863)
Enumeration Date
2020-08-28
Last Update Date
2023-05-24
Business Address
OMAR YASSER ABED SHAKHTOUR MBBS
20 YORK STREET, CB-2041
NEW HAVEN, CT 06510-3220
Phone number: 036-884-7482
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Mailing Address
OMAR YASSER ABED SHAKHTOUR MBBS
20 YORK STREET, CB-329 NORTHEAST MEDICAL GROUP, INC.
NEW HAVEN, CT 06510-3220
Phone number: 203-688-1734
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