Individual
DR. MARK B FARIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, SMILOW CANCER HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 785-3577
(203) 737-4067
Mailing address
20 YORK STREET, NEW HAVEN, CT 06510
(203) 785-3577
(203) 737-4067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A80132
CA
Other
Enumeration date
01/05/2007
Last updated
08/18/2010
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