Individual
DR. FADI MOHAMAD HAMMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TRAP FALLS RD STE 101, SHELTON, CT 06484
(203) 405-2591
(203) 285-3157
Mailing address
2 TRAP FALLS RD STE 101, SHELTON, CT 06484-4616
(203) 405-2591
(203) 285-3157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
043900
CT
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
043900
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001439000
—
CT
Enumeration date
11/13/2006
Last updated
07/15/2018
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