Individual
LARISSA ANN HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1817 BLACK ROCK TPKE STE 204, FAIRFIELD, CT 06825-3546
(203) 424-0228
Mailing address
1817 BLACK ROCK TPKE STE 204, FAIRFIELD, CT 06825-3546
(032) 420-0228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
63953
CT
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
63953
CT
Other
Enumeration date
03/21/2012
Last updated
05/22/2024
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