Organization
JOHN FARENS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN AUGUSTINE FARENS III MD (PRESIDENT)
(203) 926-1206
Entity
Organization
Contact information
Practice address
224 LEAVENWORTH RD, SHELTON, CT 06484-1809
(203) 926-1206
(203) 926-0413
Mailing address
224 LEAVENWORTH RD, SHELTON, CT 06484-1809
(203) 926-1206
(203) 926-0413
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
028528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285289
—
CT
Enumeration date
10/04/2007
Last updated
03/21/2011
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