Individual
ANGELO DEFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH PD
Contact information
Practice address
500 FARMINGTON AVENUE, HARTFORD, CT 06105
(860) 570-0543
(860) 570-0529
Mailing address
500 FARMINGTON AVENUE, HARTFORD, CT 06105
(860) 570-0543
(860) 570-0529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6533
CT
Other
Enumeration date
01/31/2007
Last updated
03/13/2017
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