Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 000649 | CT |
NPI | 1205479243 |
---|---|
Provider Name | Dr. Nili T Harpaz |
First Address | Milford, CT 06460-4632 |
Second Address | Milford, CT 06460-4625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2019 |
Last Update Date | 24/10/2019 |