Provider Information for 1184144685
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AMIRA HASSAN AWADALLA MD
Sex: Female
NPI: 1184144685
Last Updated: 2022-07-11
Certification Date: 2021-10-21
Certification Date: 2021-10-21
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184144685 | ||||||||||||||
| Enumeration Date | 2017-06-26 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-8021 United States Phone: 860-679-4477 | Fax: | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-1326 United States Phone: 203-419-6659 | Fax: | ||||||||||||||
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