Individual
DR. CHADI BERJAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 HALLS RD, OLD LYME, CT 06371-1457
(860) 434-8300
(860) 865-2388
Mailing address
19 HALLS RD, OLD LYME, CT 06371-1457
(860) 434-8300
(860) 865-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57761
AZ
207Q00000X
Family Medicine Physician
Primary
76411
CT
207Q00000X
Family Medicine Physician
R75735
AZ
Other
Enumeration date
06/22/2016
Last updated
01/19/2024
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