Individual
DEBORAH B FAHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
850 N MAIN STREET EXT., BLDG 2 SUITE C2, WALLINGFORD, CT 06492
(203) 269-9778
(203) 949-1544
Mailing address
850 N MAIN STREET EXT, BLDG 2 SUITE C2, WALLINGFORD, CT 06492-2400
(203) 269-9778
(203) 949-1544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001829
CT
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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