Provider Demographics
NPI:1114312766
Name:AL-DAMLUJI, MOHAMMED (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:AL-DAMLUJI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:MOHAMMED
Other - Middle Name:
Other - Last Name:SALIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:HHC-CVO
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:420 SAYBROOK RD STE A
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4859
Practice Address - Country:US
Practice Address - Phone:860-636-2010
Practice Address - Fax:860-636-2024
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT65337207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease