Individual
CARLOS ENRIQUE FARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5022
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4668
CT
363AS0400X
Surgical Physician Assistant
Primary
4668
CT
Other
Enumeration date
03/15/2017
Last updated
01/28/2022
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