Individual
DR. ELAINE C. FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049771
CT
207R00000X
Internal Medicine Physician
250219
NY
207R00000X
Internal Medicine Physician
A93850
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
250219
NY
207RP1001X
Pulmonary Disease Physician
250219
NY
208M00000X
Hospitalist Physician
049771
CT
Other
Enumeration date
04/18/2007
Last updated
06/14/2011
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