Doctor Name: | MR. JACQUES EDOUARD ETIENNE |
NPI Number: | 1902836976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., F.A.A.P |
License Number: | 233345-1 |
Business Practice Address: | 205 Main St. 1st Fl Optimum Medical Llc Danbury, CT - 06810 |
Business Phone Number: | 2037949000 |
Business Fax Number: | 2037949005 |
Mailing Address: | 205 Main St. 1st Fl, Optimum Medical Llc DANBURY |
State: | CT |
Postal Code: | 06810 |
Phone Number: | 2037949000 |
Fax Number: | 2037949005 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 233345-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |