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Contact Information

HAIDEE T CUSTODIO, MD
1601 CENTER STREET
STE 1S
MOBILE, AL36604-3207
 Phone: 251-410-5437
 Fax: 251-434-3852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for HAIDEE T CUSTODIO · (Female)

NPI Number 1720247075
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2008
Last updated 03/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 30839
  • FL License # TRN12314
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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