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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IHSAN I JABBOUR, M.D.

Active Sole Proprietor

DR. IHSAN I JABBOUR, M.D. is a General Practice healthcare provider located in WATERBURY, Connecticut. NPI 1407899610 is currently active in the NPPES registry. Verify at CMS.

General Practice · WATERBURY, CT

Registration Details

NPI Number
1407899610
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2006 (20.14230753661 yrs)
Last Updated
Jan 19, 2017
Licenses
026820 (CT)
026820 (CT)
026820 (CT)
026820 (CT)
Sole Proprietor
Yes

Practice Information

Address
171 GRANDVIEW AVE
SUITE # 105
WATERBURY, CT, 067082517
Browse CT providers · Browse ZIP 06708
Phone
2037552214
Fax
2035961133
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Surgery
Additional Specialty
General Practice
Additional Specialty
Family Medicine

Other General Practice Providers in WATERBURY, CT

Name Credential NPI
DR. ARVIND SURI 1780856252
NANIK R MANCHANDANI M.D 1013164854
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.