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Individual

ED HAGGAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
10 BIRDSEYE RD STE 260, FARMINGTON, CT 06032-2489
(203) 518-8414
Mailing address
10 BIRDSEYE RD STE 260, FARMINGTON, CT 06032-2489
(203) 215-4403

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
19953
CA
363AM0700X
Medical Physician Assistant
Primary
4932
CT

Other

Enumeration date
07/18/2006
Last updated
11/02/2022
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