Provider Profile
Listed in the NPI registry as a physician assistant, Ebtisam Faddoul, PA-C practices in Stamford, CT. Ebtisam graduated from Mercy College in 2011. NPI 1114294055 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
29 HOSPITAL PLZ STE 501
Stamford, CT 06902
111 E 210th St
Bronx, NY 10467
Ebtisam Faddoul is a physician assistant in Stamford, CT. That is the designation recorded for this NPI in the federal registry.
NPI registry
Ebtisam Faddoul is listed at 29 Hospital Plz Ste 501, Stamford, CT 06902. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (203) 276-4400. Contact the office directly to confirm availability and scheduling.
NPI registry
Ebtisam Faddoul's National Provider Identifier is 1114294055. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Ebtisam Faddoul attended Mercy College, graduating in 2011. This comes from the CMS National Downloadable File.
CMS public data
Ebtisam Faddoul has 15 years experience. Calculated from a graduation year of 2011, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Ebtisam Faddoul. If this is you, claiming it is free.
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