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NPI Code Detail

MEDICARE: DR. MUHAMMAD K. AL MOUNAYER M.D.

MEDICARE:  DR. MUHAMMAD K. AL MOUNAYER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician043096CT
2207R00000XInternal Medicine Physician2015-1230NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NCQ268OTHERNCMEDICARE ID

General Provider Information

NPI Number : 1093717837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD K. AL MOUNAYER M.D.
Provider Business Mailing Address
First Line : 2900 MAIN ST
Second Line : APT. #201
City : BRIDGEPORT
State : CT
Zip : 06606-4236
Country : US
Telephone Number : 203-368-6950
Fax Number :
Provider Business Practice Location Address
First Line : GAYLORD HOSPITAL
Second Line : GAYLORD FARM RD.
City : WALLINGFORD
State : CT
Zip : 06492
Country : US
Telephone Number : 203-284-2800
Fax Number : 203-679-3598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/21/2022

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Directions to “ DR. MUHAMMAD K. AL MOUNAYER M.D.” Practice Location

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