Suede, Mohamad Maher

Suede, Mohamad Maher is an sole proprietor health care provider with primary practice located at 272 Main St , Manchester CT 06042-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Suede, Mohamad Maher can be contacted via phone (860) 432-2100.

Contact Information

Primary practice address
272 Main St Manchester CT 06042-3536
Phone: (860) 432-2100
Fax: (860) 432-5330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036834 Connecticut

Profile Details

NPI number 1871525279
LBN Legal business name Suede, Mohamad Maher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 7th, 2013 - about 13 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 1871525279 NPPES
Connecticut Other 2V6079 OXFORD
Connecticut Other 036834 OXFORD
Connecticut MEDICAID 00136834000 OXFORD
Connecticut Other 010036834CT01 OXFORD

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