Individual
AVA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44 MAIN ST, DANBURY, CT 06810-8047
(203) 743-2446
Mailing address
121 TOWNE ST APT 610, STAMFORD, CT 06902-5945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6931
CT
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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