OMAR A IBRAHIMI MD, PHD
Individual Provider (NPI-1)
Active
Dermatology, MOHS-Micrographic Surgery
Provider Information
- NPI Number
1508061128- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD, PHD
- Status
- Active
Contact & Location
- Address
- 2777 SUMMER ST STE 600, STAMFORD, CT, 069054323
- Phone
- (203) 428-4440
- Fax
- (901) 221-4916
Specialties & Taxonomies
Dermatology
License: MA #L-232692
Dermatology, MOHS-Micrographic Surgery
Primary License: CT #049530