MR. JACQUES EDOUARD ETIENNE M.D. F.A.A.P NPI 1902836976

NPI Information

MR. Jacques Edouard Etienne, M.D., F.A.A.P is a pediatrics in Danbury, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MR. Jacques Edouard Etienne, M.D., F.A.A.P NPI is 1902836976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 MAIN ST. 1ST FL
OPTIMUM MEDICAL LLC
DANBURY, CT
ZIP 06810
Phone: (203) 794-9000
Fax: (203) 794-9005

The enumeration date for this NPI number is 7/4/2006 and was last updated on 5/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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