Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036567 | CT |
N | 2080P0208X | Pediatric Infectious Diseases | 036567 | CT |
NPI | 1225000904 |
---|---|
Provider Name | Alberto Cohen-Abbo |
First Address | Hartford, CT 06106 |
Second Address | Hartford, CT 06106-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H10796 | (02) | CT |