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Contact Information

BASSAM AWWA, MD
41 FAIR HARBOUR PL
NEW LONDON, CT06320-4710
 Phone: 860-437-6914
 Fax: 860-437-6920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BASSAM AWWA · (Male)

NPI # 1881774354
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 09/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 024399
  • CT License # 24399
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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