| John Farens Md Pc | |
|
224 Leavenworth Rd Shelton CT 06484-1809 | |
| (203) 926-1206 | |
| (203) 926-0413 |
| Full Name | John Farens Md Pc |
|---|---|
| Speciality | Internal Medicine - Adolescent Medicine |
| Location | 224 Leavenworth Rd, Shelton, Connecticut |
| Authorized Official Name and Position | John Augustine Farens (PRESIDENT) |
| Authorized Official Contact | 2039261206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Farens Md Pc 224 Leavenworth Rd Shelton CT 06484-1809 Ph: (203) 926-1206 | John Farens Md Pc 224 Leavenworth Rd Shelton CT 06484-1809 Ph: (203) 926-1206 |
| NPI Number | 1174711188 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174711188 | NPI | - | NPPES |
| 1285289 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 028528 (Connecticut) | Primary |
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