Individual
DR. MARY DESIREE FIEL-GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 E RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-3288
(860) 282-4133
(860) 289-0746
Mailing address
99 EAST RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-4133
(860) 289-0746
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
037621
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-457-663-3
ECFMG
—
05
—
001376210
—
CT
Enumeration date
11/07/2005
Last updated
06/21/2024
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