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Individual

SUBHASH CHADDHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
52 BEACH ROAD, FAIRFIELD, CT 06824-6017
(203) 255-4453
(203) 254-2499
Mailing address
52 BEACH ROAD, FAIRFIELD, CT 06824-6017
(203) 255-4453
(203) 254-2499

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
16039
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000270
HEALTH NET
01
0826903
CIGNA HEALTHCARE PLANS
01
2162200
AETNA HEALTH
01
4273114
AETNA HEALTH
01
49935
UNITED HEALTH CARE
01
ZP174
OXFORD HEALTH PLANS
Enumeration date
12/01/2006
Last updated
07/08/2007
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