Individual
DR. JIAFAN QI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-3985
(860) 679-2980
(860) 679-4334
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-3985
(860) 679-2980
(860) 679-4334
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
041515
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD12032
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7058397
—
RI
Enumeration date
08/19/2006
Last updated
07/05/2023
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