Individual
DR. SEDAT SELAJDIN SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1389 WEST MAIN ST, STE 308, WATERBURY, CT 06708
(203) 755-1464
(203) 754-7721
Mailing address
1389 WEST MAIN ST, STE 308, WATERBURY, CT 06708
(203) 755-1464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19493
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001194935
—
CT
Enumeration date
12/21/2006
Last updated
12/15/2011
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