Nabil A Atweh, MD
Individual provider Active NPI Surgical Critical Care Physician · Bridgeport, CT
NPI 1881662286 · NPPES record last updated Jul 22, 2009
Key facts
- NPI
- 1881662286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Critical Care Physician 2086S0102X
- License
- 031404 (CT)
- Practice address
- 226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2811 - Phone
- (203) 384-3394
- Fax
- (203) 384-3829
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 031404 | CT | |
| Surgical Critical Care Physician | 2086S0102X | 031404 | CT | Yes |
Addresses
Primary practice location
226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2811
Mailing address
PO Box 415126
Boston, MA 02241-0001
Phone (203) 384-3975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001314046 | Medicaid | CT |
Other providers in Bridgeport, CT
- Claudia Marcela Atehortua Godoy
- Tracy-Anne Atkins
- Olukayode Atoyebi
- Ryan Attar
- Robert Ramak Attaran
- Carolyn Lucy Auddino
- Vanessa Augeri
- Jewell Auguste
- Amoy Austin
- Authentic Health Care LLC
All providers in Bridgeport, CT · Surgical Critical Care Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.