Provider Demographics
NPI:1669812715
Name:SOLIMAN, GERMINE SAMEH LABIB (MD)
Entity Type:Individual
Prefix:
First Name:GERMINE
Middle Name:SAMEH LABIB
Last Name:SOLIMAN
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 1:21 SOUTH ROAD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2482
Mailing Address - Country:US
Mailing Address - Phone:860-679-8400
Mailing Address - Fax:860-679-0123
Practice Address - Street 1:21 SOUTH ROAD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2482
Practice Address - Country:US
Practice Address - Phone:860-679-8400
Practice Address - Fax:860-679-0123
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT055100390200000X
CT55100207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program