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Individual

ALAN FARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 WASHINGTON SQ, NEW BRITAIN, CT 06051-1848
(860) 224-3642
(860) 224-2760
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034089
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0034089
CT
Enumeration date
07/24/2006
Last updated
03/25/2010
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