Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 040351 | CT |
NPI | 1255335717 |
---|---|
Provider Name | Elijah Paintsil |
First Address | Hamden, CT 06517-2318 |
Second Address | New Haven, CT 06504-8900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2005 |
Last Update Date | 26/02/2013 |