| James B Fanning Md Pc | |
|
2 George Street North Haven CT 06473 | |
| (203) 239-5609 | |
| (203) 239-5600 |
| Full Name | James B Fanning Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 George Street, North Haven, Connecticut |
| Authorized Official Name and Position | James B Fanning (DOCTOR/PRESIDENT) |
| Authorized Official Contact | 2032395609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B Fanning Md Pc 2 George Street North Haven CT 06473 Ph: (203) 239-5609 | James B Fanning Md Pc 2 George Street North Haven CT 06473 Ph: (203) 239-5609 |
| NPI Number | 1780936047 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780936047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 008817 (Connecticut) | Primary |
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