Basic Information
| Provider Information | |||||||||
| NPI: | 1629218086 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AL HADDADIN | ||||||||
| FirstName: | CAROLINE | ||||||||
| MiddleName: | SAMI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8 HUNTING LN | ||||||||
| Address2: | |||||||||
| City: | NORTH HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064733470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034353304 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20 YORK ST | ||||||||
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| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065103220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036884242 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2009 | ||||||||
| LastUpdateDate: | 09/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 051220 | CT | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP3000X | 51220 | CT | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pediatric Anesthesiology | 207L00000X | 35.137155 | OH | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.