Abbosh, Jasmine M

Abbosh, Jasmine M is an individual health care provider with primary practice located at 836 Farmington Ave Suite 207, West Hartford CT 06119. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Abbosh, Jasmine M can be contacted via phone (860) 232-9911.

Contact Information

Primary practice address
836 Farmington Ave Suite 207 West Hartford CT 06119
Phone: (860) 232-9911
Fax: (860) 233-5996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 042394 Connecticut
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 042394 Connecticut

Profile Details

NPI number 1609857473
LBN Legal business name Abbosh, Jasmine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609857473 NPPES
Connecticut MEDICAID 00142394600
Connecticut Other 010042394CT01
Connecticut Other 1714336
Connecticut MEDICAID 2V5485
Connecticut Other 245572
Connecticut Other P3240802
Connecticut Other 042394

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