Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 016827 | CT |
N | 111NI0900X | Internist | 016827 | CT |
Y | 207RH0000X | Hematologist | 016827 | CT |
NPI | 1437146057 |
---|---|
Provider Name | Seyed Aleali |
First Address | Fairfield, CT 06824-6232 |
Second Address | Fairfield, CT 06824-6232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 24/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001168277 | (05) | CT |
D33542 | (02) |