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Individual

CRYSTAL FASANO BOYARSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
850 N MAIN STREET EXT, WALLINGFORD, CT 06492-2400
(203) 804-1888
Mailing address
850 N MAIN STREET EXT, WALLINGFORD, CT 06492-2400
(203) 804-1888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14076
CT

Other

Enumeration date
10/31/2024
Last updated
10/31/2024
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