NPI 1083237861 · live from the CMS NPI Registry
Shalima Abdalla
Physician Assistant, Medical in Waterbury, CT. National Provider Identifier 1083237861, active.
NPI record
| NPI | 1083237861 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 402 E Main St, Waterbury, CT 06702 |
| Practice phone | 203-574-9000 |
| Mailing address | 141 E Main St, Waterbury, CT 06702 |
| Enumerated | May 27, 2020 |
| Last updated | May 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.