Individual
DR. FAWAD HAMEEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 WASHINGTON AVE, NORTH HAVEN, CT 06473-1704
(203) 456-8000
Mailing address
79 WASHINGTON AVE, NORTH HAVEN, CT 06473-1704
(203) 456-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53890
CT
208D00000X
General Practice Physician
Primary
53890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008073005
—
CT
Enumeration date
04/12/2011
Last updated
07/21/2022
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