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Contact Information

ANNETTE VANNILAM, MD
191 POST RD W
WESTPORT, CT06880-4625
 Phone: 860-545-9560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for ANNETTE VANNILAM · (Female)

NPI Number 1275972952
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2013
Last updated 09/04/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 75930
  • MI License # 4301103398
  • TN License # MD0000054575
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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