Individual
EZZAT HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 STRAITS TPKE, MIDDLEBURY, CT 06762-1839
(860) 965-7175
Mailing address
1625 STRAITS TURNPIKE, SUITE 302, MIDDLEBURY, CT 06762
(203) 573-9512
(203) 568-2919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035369
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001353698
—
CT
Enumeration date
08/09/2006
Last updated
01/25/2022
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