Individual
SHIJI A. ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 WILLARD AVENUE, BUILDING 2, SUITE C, NEWINGTON, CT 06111
(860) 666-5601
Mailing address
14 PARK PALCE CIRCLE, UNIT A, WEST HARTFORD, CT 06110
(917) 797-9869
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047281
CT
Other
Enumeration date
01/22/2007
Last updated
08/13/2014
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