Individual
MR. FERAS MARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2015
(860) 679-3600
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2015
(860) 679-3600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
65272
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
09/22/2021
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