Healthcare Provider Details

I. General information

NPI: 1184016339
Provider Name (Legal Business Name): SOFIYA ABRAHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 STROBEL RD
TRUMBULL CT
06611-3345
US

IV. Provider business mailing address

269 STROBEL RD
TRUMBULL CT
06611-3345
US

V. Phone/Fax

Practice location:
  • Phone: 203-565-5205
  • Fax:
Mailing address:
  • Phone: 203-565-5205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH234351
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: