Individual
FAOUZI HAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
75 SWANTOWN HILL RD, NORTH STONINGTON, CT 06359-1022
(860) 445-3005
(860) 535-3401
Mailing address
22 COLONY RD, EAST LYME, CT 06333-1315
(860) 514-7339
(860) 535-3030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
467
CT
Other
Enumeration date
03/28/2007
Last updated
02/18/2020
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