NPI 1366893281 · live from the CMS NPI Registry
Chadi Berjaoui, M.D.
Family Medicine in Old Lyme, CT. National Provider Identifier 1366893281, active.
NPI record
| NPI | 1366893281 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 19 Halls Rd, Old Lyme, CT 06371 |
| Practice phone | 860-434-8300 |
| Enumerated | June 22, 2016 |
| Last updated | January 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | R75735 (AZ) |
| Family Medicine | 207Q00000X | 57761 (AZ) |
| Family Medicine primary | 207Q00000X | 76411 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.