Individual
HALEY EATON FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6167
CT
Other
Enumeration date
07/12/2022
Last updated
10/29/2025
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