Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 053139 | CT |
NPI | 1003067604 |
---|---|
Provider Name | Dr. Regina Eum |
First Address | Fairfield, CT 06825-5508 |
Second Address | Fairfield, CT 06825-5508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 17/03/2018 |