Kemal, Mustapha

Kemal, Mustapha is an individual health care provider with primary practice located at 365 Montauk Ave L&M Physician Association, Inc., New London CT 06320-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kemal, Mustapha can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave L&M Physician Association, Inc. New London CT 06320-4700
Phone: (860) 442-0711
Fax: (860) 442-0262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD14994 Rhode Island
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 035770 Connecticut

Profile Details

NPI number 1942281662
LBN Legal business name Kemal, Mustapha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942281662 NPPES
Connecticut MEDICAID 1357706

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