Individual
DR. JAN PETER FUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1556 NEW HAVEN AVE, MILFORD, CT 06460-8220
(203) 878-5941
Mailing address
1556 NEW HAVEN AVE, MILFORD, CT 06460-8220
(203) 878-5941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
013520
CT
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
013520
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013520
CT STATE LICENSE
CT
Enumeration date
09/02/2006
Last updated
09/11/2025
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