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Ebtisam Faddoul, PA-C
NPI 1114294055 · on the registry since 2011
Practice
- Address
- 29 Hospital Plz Ste 501
Stamford, CT 06902 - Phone
- (203) 276-4400
- Fax
- (203) 276-4401
- Clinicians at this address
- 58
Additional practice sites
- 111 E 210th St, Bronx, NY
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut