NPI 1013263847

Omar a Ibrahimi MD PHD LLC

Organisation MOHS-Micrographic Surgery Physician Stamford, CT

Practice location

Address: 2777 Summer St STE 600, Stamford, CT 06905-4323
Phone: (203) 428-4440
Fax: (901) 221-4916

Authorised official

Name: Omar a Ibrahimi
Title: Owner
Phone: (203) 428-4440

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 049530 (CT)

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Registry record

NPI: 1013263847
Entity type: Organization
NPI issued: 30 Jul 2012
Record last updated: 11 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.