Provider Demographics
NPI:1871170431
Name:ALSAMMARRAIE, NOOR (MD)
Entity type:Individual
Prefix:
First Name:NOOR
Middle Name:
Last Name:ALSAMMARRAIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398A FEDERAL RD UNIT 219
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2450
Mailing Address - Country:US
Mailing Address - Phone:567-271-8007
Mailing Address - Fax:
Practice Address - Street 1:24 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6077
Practice Address - Country:US
Practice Address - Phone:203-739-1899
Practice Address - Fax:203-739-1899
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-28
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program