Waterbury Neurology LLC
NPI #1255378501 in Middlebury, Connecticut
Provider Information
- NPI Number
- 1255378501
- Entity Type
- Organization
- Organization Name
- Waterbury Neurology LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Apr 29, 2016
Practice Location
- Address
- 1625 STRAITS TURNPIKE
- Address 2
- SUITE 307
- City
- Middlebury
- State
- Connecticut
- ZIP Code
- 06762-1836
- Phone
- (203) 758-8995
Authorized Official
- Name
- DR. POOIA FATTAHI, MD
- Title
- PARTNER
- Phone
- (203) 758-8995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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