Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 037009 | CT |
NPI | 1033183355 |
---|---|
Provider Name | Dr. Lydia Aoun-Barakat |
First Address | Middlebury, CT 06762-1805 |
Second Address | Waterbury, CT 06708-2505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 16/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001370098 | (05) | CT |
H19263 | (02) |