Individual
HALEH GHANIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
83 WEST LN, RIDGEFIELD, CT 06877-4905
(203) 438-2441
(203) 438-1011
Mailing address
PO BOX 537, RIDGEFIELD, CT 06877-0537
(203) 438-2441
(203) 438-1011
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
041249
CT
2084P0800X
Psychiatry Physician
041249
CT
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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