Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 67199 | CT |
NPI | 1063868859 |
---|---|
Provider Name | Dr. Veronica Azmy Meawad |
First Address | New Haven, CT 06520-9013 |
Second Address | Old Saybrook, CT 06475-1220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2016 |
Last Update Date | 14/06/2021 |