NPI 1548270572

William Ghavami Frederick, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Waterbury, CT

Practice location

Address: 56 Franklin St, Waterbury, CT 06706
Phone: (203) 709-6053
Fax: (203) 709-3156
Mailing address: PO Box 6305 Church Street Station, New York, NY 10249-6305

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 029837 (CT)

Other Pathology providers in Connecticut →

Registry record

NPI: 1548270572
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.