Individual
TARYN FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 464-3044
Mailing address
2 LORENZ INDUSTRIAL PKWY, LEDYARD, CT 06339-1946
(860) 464-3045
(860) 464-3044
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002206
CT
Other
Enumeration date
12/08/2008
Last updated
07/03/2023
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