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Organization

SHELTON PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FADI HAMMOUD MD (PEDIATRICIAN)
(203) 437-0346
Entity
Organization

Contact information

Practice address
2 TRAP FALLS RD STE 101, SHELTON, CT 06484-4616
(203) 828-7185
Mailing address
220 FANS ROCK RD, HAMDEN, CT 06518-2017
(203) 813-6175
(475) 655-2990

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043900
CT
2080A0000X
Pediatric Adolescent Medicine Physician
043900
CT

Other

Enumeration date
05/07/2018
Last updated
05/07/2018
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