Individual
DR. MARIO FAHED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 TALCOTT NOTCH, FARMINGTON, CT 06032
(860) 679-6700
(860) 679-6736
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8082
(860) 679-6700
(860) 679-6736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060187
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2014
Last updated
06/13/2019
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