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Individual

MR. DANIEL CHICK FOMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN APN

Contact information

Practice address
67 SAND PIT RD, STE. 308, DANBURY, CT 06810-4032
(203) 743-7264
Mailing address
67 SAND PIT RD, STE. 308, DANBURY, CT 06810-4032
(203) 743-7264

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6100
CT

Other

Enumeration date
06/06/2008
Last updated
03/17/2016
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