Individual
CESAR FABIAN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-6595
(860) 533-6594
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-6595
(860) 533-6594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48107
CT
208M00000X
Hospitalist Physician
Primary
48107
CT
Other
Enumeration date
10/01/2007
Last updated
02/06/2015
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