Hafez, Ezzat
Hafez, Ezzat is an individual health care provider with primary practice located at 1655 Straits Tpke , Middlebury CT 06762-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hafez, Ezzat can be contacted via phone (860) 965-7175.Contact Information
Primary practice address
1655 Straits Tpke
Middlebury CT 06762-1839
Phone: (860) 965-7175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 035369 | Connecticut |
Profile Details
| NPI number | 1548270614 |
|---|---|
| LBN Legal business name | Hafez, Ezzat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jan 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548270614 | NPPES |
| Connecticut | MEDICAID | 001353698 |
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