| NPI | 1922597830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI HAMMOUD Pediatrician 203-437-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 043900) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: CT 043900) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |