Individual
DR. POOIA FATTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 STRAITS TPKE, SUITE 307 - WATERBURY NEUROLOGY LLC, MIDDLEBURY, CT 06762-1836
(203) 758-2635
(203) 758-2571
Mailing address
1625 STRAITS TPKE, SUITE 307 - WATERBURY NEUROLOGY LLC, MIDDLEBURY, CT 06762-1836
(203) 758-2635
(203) 758-2571
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
50832
CT
Other
Enumeration date
10/28/2008
Last updated
02/06/2015
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