EBTISAM FADDOUL

STAMFORD, CT
NPI1114294055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015255-1)
Enumeration Date2011-11-21
Last Update Date2022-07-19
Business Address
EBTISAM FADDOUL PA-C
29 HOSPITAL PLZ STE 501
STAMFORD, CT 06902-3602
Phone number: 203-276-4400
Mailing Address
EBTISAM FADDOUL PA-C
29 HOSPITAL PLZ STE 501
STAMFORD, CT 06902-3602
Phone number: 203-276-4400
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