Individual
ELIZABETH A FASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Mailing address
445 S MAIN ST, WEST HARTFORD, CT 06110-1646
(860) 561-7111
(860) 561-7272
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
056830
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326060484
NPI
—
Enumeration date
07/24/2006
Last updated
08/11/2011
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