Fawaz, Rima L

Fawaz, Rima L is an individual health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Fawaz, Rima L can be contacted via phone (203) 785-4649.

Contact Information

Primary practice address
800 Howard Ave New Haven CT 06519-1369
Fax: (203) 737-1384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 222795 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 64157 Connecticut

Profile Details

NPI number 1215918123
LBN Legal business name Fawaz, Rima L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215918123 NPPES
Massachusetts Other 469921 TUFTS HEALTH PLAN
Massachusetts Other J28234 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2086191 TUFTS HEALTH PLAN

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