Individual
DR. KETHIA ELIEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
126 MORGAN ST, STAMFORD, CT 06905-5431
(203) 327-1055
(203) 323-6177
Mailing address
126 MORGAN ST, STAMFORD, CT 06905-5431
(203) 327-1055
(203) 323-6177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66311
CT
Other
Enumeration date
04/15/2017
Last updated
07/23/2020
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