Individual
THOMAS FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 ORCHARD ST, SUITE 300, NEW HAVEN, CT 06511-4417
(203) 787-3488
(203) 787-4914
Mailing address
330 ORCHARD ST, SUITE 300, NEW HAVEN, CT 06511-4417
(203) 787-3488
(203) 787-4914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042478
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
042478
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424788
—
CT
01
—
P00445925
RR MEDICARE
—
Enumeration date
02/03/2006
Last updated
08/12/2010
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