Individual
GOLFAM FADAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7327
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7327
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
82628
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
05/14/2026
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