Provider Demographics
NPI:1851581045
Name:CENGIZ, EDA (MD)
Entity Type:Individual
Prefix:
First Name:EDA
Middle Name:
Last Name:CENGIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:LMP 3103
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-785-4279
Mailing Address - Fax:203-737-2829
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:LMP 3103
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-4279
Practice Address - Fax:203-737-2829
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0456462080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology