Individual provider · Type 1 NPI

Ebtisam Faddoul, PA-C

Physician Assistant · Stamford, CT

NPI number 1114294055 Active

Practice location

29 Hospital Plz Ste 501
Stamford, CT 06902-3602

Call (203) 276-4400 Map

Fax (203) 276-4401

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-2985

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X015255-1 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

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About NPI 1114294055

Ebtisam Faddoul, PA-C's National Provider Identifier is 1114294055, issued on Nov 21, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stamford, CT. The record was last updated on Jul 19, 2022.